4810 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 |
$1,821.70 |
4811 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 |
$2,027.67 |
4812 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 |
$2,027.67 |
4813 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 |
$2,357.23 |
4814 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 |
$2,357.23 |
4815 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 |
$2,484.62 |
4816 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 |
$2,828.05 |
4817 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 |
$3,298.59 |
4818 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 |
$3,298.59 |
4819 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 |
$3,649.39 |
4820 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 |
$3,649.39 |
4821 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 |
$4,054.87 |
4822 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 |
$3,417.34 |
4823 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 |
$3,670.82 |
4824 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 |
$3,670.82 |
4825 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 |
$4,436.95 |
4826 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 |
$4,436.95 |
4827 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 |
$5,689.12 |
4828 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 |
$2,049.25 |
4829 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 |
$2,224.93 |
4830 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 |
$2,224.93 |
4831 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 |
$2,301.52 |
4832 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 |
$2,301.52 |
4833 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 |
$2,505.14 |
4834 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 |
$3,141.58 |
4835 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 |
$3,379.50 |
4836 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 |
$3,379.50 |
4837 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 |
$3,771.17 |
4838 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 |
$3,771.17 |
4839 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 |
$4,138.76 |
4840 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 |
$4,396.70 |
4841 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 |
$4,958.08 |
4842 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 |
$4,958.08 |
4843 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 |
$5,887.69 |
4844 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 |
$5,887.69 |
4845 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 |
$6,429.31 |
4846 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 |
$2,246.15 |
4847 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 |
$2,548.53 |
4848 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 |
$2,548.53 |
4849 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 |
$2,760.55 |
4850 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 |
$2,760.55 |
4851 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 |
$3,383.11 |
4852 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 |
$4,035.16 |
4853 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 |
$4,660.74 |
4854 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 |
$4,660.74 |
4855 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 |
$5,182.25 |
4856 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 |
$5,182.25 |
4857 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 |
$5,446.55 |
4858 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 |
$5,051.20 |
4859 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 |
$7,104.74 |
4860 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 |
$7,104.74 |
4861 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 |
$7,128.75 |
4862 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 |
$7,128.75 |
4863 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 |
$8,261.63 |
4864 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 |
$1,338.73 |
4865 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 |
$1,463.24 |
4866 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 |
$1,463.24 |
4867 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 |
$2,135.51 |
4868 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 |
$2,135.51 |
4869 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 |
$2,264.25 |
4870 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 |
$3,184.55 |
4871 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 |
$3,343.25 |
4872 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 |
$3,343.25 |
4873 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 |
$4,310.98 |
4874 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 |
$4,310.98 |
4875 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 |
$4,745.10 |
4876 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 |
$3,946.87 |
4877 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 |
$3,760.42 |
4878 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 |
$3,760.42 |
4879 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 |
$5,442.32 |
4880 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 |
$5,442.32 |
4881 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 |
$6,793.58 |
4882 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 |
$1,564.41 |
4883 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 |
$1,709.16 |
4884 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 |
$1,709.16 |
4885 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 |
$2,187.05 |
4886 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 |
$2,187.05 |
4887 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 |
$2,433.19 |
4888 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 |
$3,302.81 |
4889 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 |
$3,835.84 |
4890 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 |
$3,835.84 |
4891 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 |
$4,748.72 |
4892 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 |
$4,748.72 |
4893 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 |
$5,170.84 |
4894 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 |
$4,490.02 |
4895 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 |
$5,445.55 |
4896 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 |
$5,445.55 |
4897 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 |
$7,545.33 |
4898 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 |
$7,545.33 |
4899 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 |
$8,281.67 |
4900 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 |
$1,595.62 |
4901 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 |
$2,203.54 |
4902 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 |
$2,203.54 |
4903 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 |
$3,290.01 |
4904 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 |
$3,290.01 |
4905 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 |
$2,681.29 |
4906 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 |
$4,296.27 |
4907 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 |
$5,570.80 |
4908 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 |
$5,570.80 |
4909 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 |
$6,164.29 |
4910 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 |
$6,164.29 |
4911 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 |
$7,091.65 |
4912 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 |
$6,629.88 |
4913 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 |
$10,395.16 |
4914 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 |
$10,395.16 |
4915 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 |
$9,062.35 |
4916 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 |
$9,062.35 |
4917 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 |
$12,570.52 |
4919 |
EPS ASSESSMENT WITH NO OASIS - 18 AND OLDER |
LUPA ONLY |
4920 |
EPS MATERNITY, NO OASIS, 18 AND OLDER |
$1,338.73 |