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"providers": [{ "billed_charge": 17885.00, "npi": [1689761942] } ] } ] }, { "tin": { "type": "ein", "value": "621757921" }, "service_code": ["23"], "billing_class": "institutional", "payments": [{ "allowed_amount": 21404.23, "providers": [{ "billed_charge": 54257.28, "npi": [1326107319] } ] } ] }, { "tin": { "type": "ein", "value": "610724492" }, "service_code": ["23"], "billing_class": "institutional", "payments": [{ "allowed_amount": 74096.05, "providers": [{ "billed_charge": 197937.69, "npi": [1871547703] } ] } ] }, { "tin": { "type": "ein", "value": "611334601" }, "service_code": ["23"], "billing_class": "institutional", "payments": [{ "allowed_amount": 21620.00, "providers": [{ "billed_charge": 21620.00, "npi": [1740488386] } ] }, { "allowed_amount": 3189.60, "providers": [{ "billed_charge": 4936.00, "npi": [1437150984] } ] }, { "allowed_amount": 8314.28, "providers": [{ "billed_charge": 12764.00, "npi": [1447457775] } ] }, { "allowed_amount": 71145.91, "providers": [{ 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] }, { "tin": { "type": "ein", "value": "610859329" }, "service_code": ["23"], "billing_class": "institutional", "payments": [{ "allowed_amount": 15131.84, "providers": [{ "billed_charge": 50438.59, "npi": [1427095488] } ] } ] }, { "tin": { "type": "ein", "value": "061705652" }, "service_code": ["23"], "billing_class": "institutional", "payments": [{ "allowed_amount": 18.88, "providers": [{ "billed_charge": 62.94, "npi": [1407829567] } ] } ] } ] }, { "name": "HOSPICE/RTN HOME", "billing_code_type": "RC", "billing_code_type_version": "2022", "billing_code": "651", "description": "HOSPICE SERVICES - ROUTINE HOME CARE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "310970252" }, "service_code": ["34"], "billing_class": "institutional", "payments": [{ "allowed_amount": 41808.00, "providers": [{ "billed_charge": 58960.00, "npi": [1518926369] } ] } ] }, { "tin": { "type": "ein", "value": "610921718" }, "service_code": ["34"], "billing_class": "institutional", "payments": [{ 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"allowed_amount": 145.80, "providers": [{ "billed_charge": 329.84, "npi": [1811154388] } ] } ] } ] }, { "name": "ACUTE HEPATITIS PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "80074", "description": "ACUTE HEPATITIS PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: HEPATITIS A ANTIBODY (HAAB), IGM ANTIBO", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 200.04, "providers": [{ "billed_charge": 428.67, "npi": [1811154388] } ] } ] } ] }, { "name": "HEPATIC FUNCTION PANEL", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "80076", "description": "HEPATIC FUNCTION PANEL THIS PANEL MUST INCLUDE THE FOLLOWING: ALBUMIN (82040) BILIRUBIN, TOTAL (8224", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 892.32, "providers": [{ "billed_charge": 1960.80, "npi": [1811154388] } ] } ] } ] }, { "name": "DRUG TEST PRSMV CHEM ANLYZR", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "80307", "description": "DRUG TEST(S), PRESUMPTIVE, ANY NUMBER OF DRUG CLASSES, ANY NUMBER OF DEVICES OR PROCEDURES; BY INSTR", "allowed_amounts": [{ "tin": { "type": "ein", "value": "262961334" }, "service_code": ["11"], "billing_class": "professional", "payments": [{ "allowed_amount": 47.54, "providers": [{ "billed_charge": 372.84, "npi": [1811883184] } ] } ] }, { "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 4524.00, "providers": [{ "billed_charge": 9755.98, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "371874451" }, "service_code": ["57"], "billing_class": "professional", "payments": [{ "allowed_amount": 1214.86, "providers": [{ "billed_charge": 4600.00, "npi": [1700415320] } ] } ] } ] }, { "name": "URINALYSIS NONAUTO W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "81000", "description": "URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, ", "allowed_amounts": [{ "tin": { "type": "ein", "value": "611197638" }, "service_code": ["11"], "billing_class": "professional", "payments": [{ "allowed_amount": 8.04, "providers": [{ "billed_charge": 30.00, "npi": [1881623395] } ] } ] } ] }, { "name": "URINALYSIS AUTO W/SCOPE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "81001", "description": "URINALYSIS, BY DIP STICK OR TABLET REAGENT FOR BILIRUBIN, GLUCOSE, HEMOGLOBIN, KETONES, LEUKOCYTES, ", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 75.48, "providers": [{ "billed_charge": 168.01, "npi": [1811154388] } ] } ] } ] }, { "name": "MICROALBUMIN, QUANTITATIVE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82043", "description": "ALBUMIN; URINE (EG, MICROALBUMIN), QUANTITATIVE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 930.35, "providers": [{ "billed_charge": 2046.12, "npi": [1811154388] } ] } ] } ] }, { "name": "VITAMIN D 25 HYDROXY", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82306", "description": "VITAMIN D; 25 HYDROXY, INCLUDES FRACTION(S), IF PERFORMED", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 11064.48, "providers": [{ "billed_charge": 24390.40, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1143.57, "providers": [{ "billed_charge": 3466.16, "npi": [1234567893] } ] } ] } ] }, { "name": "TOTAL CORTISOL", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82533", "description": "CORTISOL; TOTAL", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 251.02, "providers": [{ "billed_charge": 537.90, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF CK (CPK)", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82550", "description": "CREATINE KINASE (CK), (CPK); TOTAL", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 81.99, "providers": [{ "billed_charge": 175.77, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF URINE CREATININE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82570", "description": "CREATININE; OTHER SOURCE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 957.00, "providers": [{ "billed_charge": 2108.26, "npi": [1811154388] } ] } ] } ] }, { "name": "VITAMIN B-12", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82607", "description": "CYANOCOBALAMIN (VITAMIN B-12);", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 2976.51, "providers": [{ "billed_charge": 6559.80, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 347.67, "providers": [{ "billed_charge": 1735.68, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF ESTRADIOL", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82670", "description": "ESTRADIOL", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 430.32, "providers": [{ "billed_charge": 922.02, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF FERRITIN", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82728", "description": "FERRITIN", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1259.28, "providers": [{ "billed_charge": 2766.89, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 73.64, "providers": [{ "billed_charge": 328.05, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF FOLIC ACID SERUM", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82746", "description": "FOLIC ACID; SERUM", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1605.24, "providers": [{ "billed_charge": 3542.70, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 77.68, "providers": [{ "billed_charge": 346.10, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY IGA/IGD/IGG/IGM EACH", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "82784", "description": "GAMMAGLOBULIN (IMMUNOGLOBULIN); IGA, IGD, IGG, IGM, EACH", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 195.30, "providers": [{ "billed_charge": 418.50, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF GONADOTROPIN (FSH)", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83001", "description": "GONADOTROPIN; FOLLICLE STIMULATING HORMONE (FSH)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 286.11, "providers": [{ "billed_charge": 613.14, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF GONADOTROPIN (LH)", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83002", "description": "GONADOTROPIN; LUTEINIZING HORMONE (LH)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 51.86, "providers": [{ "billed_charge": 111.12, "npi": [1811154388] } ] } ] } ] }, { "name": "GLYCOSYLATED HEMOGLOBIN TEST", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83036", "description": "HEMOGLOBIN; GLYCOSYLATED (A1C)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 4511.88, "providers": [{ "billed_charge": 9981.88, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 398.78, "providers": [{ "billed_charge": 1636.58, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF IRON", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83540", "description": "IRON", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 661.38, "providers": [{ "billed_charge": 1449.28, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 51.18, "providers": [{ "billed_charge": 184.94, "npi": [1234567893] } ] } ] } ] }, { "name": "IRON BINDING TEST", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83550", "description": "IRON BINDING CAPACITY", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 722.16, "providers": [{ "billed_charge": 1599.42, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF MAGNESIUM", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83735", "description": "MAGNESIUM", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 272.02, "providers": [{ "billed_charge": 596.30, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 32.84, "providers": [{ "billed_charge": 96.48, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF PARATHORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "83970", "description": "PARATHORMONE (PARATHYROID HORMONE)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 346.74, "providers": [{ "billed_charge": 784.32, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF PROTEIN, URINE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84156", "description": "PROTEIN, TOTAL, EXCEPT BY REFRACTOMETRY; URINE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 15.42, "providers": [{ "billed_charge": 33.03, "npi": [1811154388] } ] } ] } ] }, { "name": "ASSAY OF TOTAL TESTOSTERONE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84403", "description": "TESTOSTERONE; TOTAL", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1517.46, "providers": [{ "billed_charge": 3355.30, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 12.91, "providers": [{ "billed_charge": 38.72, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF FREE THYROXINE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84439", "description": "THYROXINE; FREE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1288.26, "providers": [{ "billed_charge": 2787.18, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 104.34, "providers": [{ "billed_charge": 425.58, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY THYROID STIM HORMONE", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84443", "description": "THYROID STIMULATING HORMONE (TSH)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 10019.52, "providers": [{ "billed_charge": 21991.20, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 211.14, "providers": [{ "billed_charge": 1278.48, "npi": [1234567893] } ] } ] } ] }, { "name": "FREE ASSAY (FT-3)", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84481", "description": "TRIIODOTHYRONINE T3; FREE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 450.68, "providers": [{ "billed_charge": 965.58, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 7.62, "providers": [{ "billed_charge": 20.33, "npi": [1234567893] } ] } ] } ] }, { "name": "ASSAY OF BLOOD/URIC ACID", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "84550", "description": "URIC ACID; BLOOD", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 88.62, "providers": [{ "billed_charge": 189.84, "npi": [1811154388] } ] } ] } ] }, { "name": "COMPLETE CBC W/AUTO DIFF WBC", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "85025", "description": "BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT) AND AUTOMATED DIFFERE", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 4917.76, "providers": [{ "billed_charge": 10776.99, "npi": [1811154388] } ] } ] }, { "tin": { "type": "ein", "value": "999999999" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 194.49, "providers": [{ "billed_charge": 1071.26, "npi": [1234567893] } ] } ] } ] }, { "name": "COMPLETE CBC, AUTOMATED", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "85027", "description": "BLOOD COUNT; COMPLETE (CBC), AUTOMATED (HGB, HCT, RBC, WBC AND PLATELET COUNT)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 1603.62, "providers": [{ "billed_charge": 3526.15, "npi": [1811154388] } ] } ] } ] }, { "name": "PROTHROMBIN TIME", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "85610", "description": "PROTHROMBIN TIME;", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 144.24, "providers": [{ "billed_charge": 313.17, "npi": [1811154388] } ] } ] } ] }, { "name": "RBC SED RATE, AUTOMATED", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "85652", "description": "SEDIMENTATION RATE, ERYTHROCYTE; AUTOMATED", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 204.12, "providers": [{ "billed_charge": 448.20, "npi": [1811154388] } ] } ] } ] }, { "name": "ANTINUCLEAR ANTIBODIES", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "86038", "description": "ANTINUCLEAR ANTIBODIES (ANA);", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 186.23, "providers": [{ "billed_charge": 411.06, "npi": [1811154388] } ] } ] } ] }, { "name": "C-REACTIVE PROTEIN", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "86140", "description": "C-REACTIVE PROTEIN;", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 572.75, "providers": [{ "billed_charge": 1253.56, "npi": [1811154388] } ] } ] } ] }, { "name": "T CELL, ABSOLUTE COUNT", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "86361", "description": "T CELLS; ABSOLUTE CD4 COUNT", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 74.98, "providers": [{ "billed_charge": 160.68, "npi": [1811154388] } ] } ] } ] }, { "name": "TISS TRNSGLTMNASE EA IG CLAS", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "86364", "description": "TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS", "allowed_amounts": [{ "tin": { "type": "ein", "value": "610445850" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 48.42, "providers": [{ "billed_charge": 103.77, "npi": [1811154388] } ] } ] } ] }, { "name": "MICROSOMAL ANTIBODY EACH", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "86376", "description": "MICROSOMAL ANTIBODIES (EG, THYROID OR LIVER-KIDNEY), EACH", 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49.72, "providers": [{ "billed_charge": 208.04, "npi": [1518652940] } ] }, { "allowed_amount": 89.86, "providers": [{ "billed_charge": 832.16, "npi": [1518652940] } ] } ] } ] }, { "name": "HIT IMPLANTED PUMP PAIN MGMT", "billing_code_type": "HCPCS", "billing_code_type_version": "2022", "billing_code": "S9328", "description": "HOME INFUSION THERAPY, IMPLANTED PUMP PAIN MANAGEMENT INFUSION; ADMINISTRATIVE SERVICES, PROFESSIONA", "allowed_amounts": [{ "tin": { "type": "ein", "value": "999999999" }, "service_code": ["12"], "billing_class": "professional", "payments": [{ "allowed_amount": 19512.00, "providers": [{ "billed_charge": 65040.00, "npi": [1234567893] } ] } ] } ] } ] }