4810 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 1 |
$ 1,529.16 |
4811 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 2 |
$ 1,697.40 |
4812 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 3 |
$ 2,218.60 |
4813 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 4 |
$ 2,460.96 |
4814 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 5 |
$ 2,624.70 |
4815 |
EPS START OF CARE, CLIN A, FUNC E, AGE GRP 6 |
$ 2,847.05 |
4816 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 1 |
$ 2,797.52 |
4817 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 2 |
$ 3,488.96 |
4818 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 3 |
$ 3,917.95 |
4819 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 4 |
$ 4,105.03 |
4820 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 5 |
$ 4,380.34 |
4821 |
EPS START OF CARE, CLIN A, FUNC F, AGE GRP 6 |
$ 5,022.40 |
4822 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 1 |
$ 4,640.86 |
4823 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 2 |
$ 4,958.01 |
4824 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 3 |
$ 7,314.14 |
4825 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 4 |
$ 6,898.60 |
4826 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 5 |
$ 7,429.92 |
4827 |
EPS START OF CARE, CLIN A, FUNC G, AGE GRP 6 |
$ 9,173.28 |
4828 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 1 |
$ 2,058.16 |
4829 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 2 |
$ 2,257.95 |
4830 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 3 |
$ 2,573.54 |
4831 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 4 |
$ 2,712.07 |
4832 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 5 |
$ 2,544.62 |
4833 |
EPS START OF CARE, CLIN B, FUNC E, AGE GRP 6 |
$ 2,370.03 |
4834 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 1 |
$ 3,479.26 |
4835 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 2 |
$ 4,344.37 |
4836 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 3 |
$ 4,682.97 |
4837 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 4 |
$ 5,054.10 |
4838 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 5 |
$ 5,623.83 |
4839 |
EPS START OF CARE, CLIN B, FUNC F, AGE GRP 6 |
$ 6,625.58 |
4840 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 1 |
$ 5,792.08 |
4841 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 2 |
$ 7,059.48 |
4842 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 3 |
$ 8,073.43 |
4843 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 4 |
$ 8,987.00 |
4844 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 5 |
$ 10,270.58 |
4845 |
EPS START OF CARE, CLIN B, FUNC G, AGE GRP 6 |
$ 11,668.94 |
4846 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 1 |
$ 2,592.34 |
4847 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 2 |
$ 2,530.60 |
4848 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 3 |
$ 4,014.55 |
4849 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 4 |
$ 4,195.01 |
4850 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 5 |
$ 5,428.64 |
4851 |
EPS START OF CARE, CLIN C, FUNC E, AGE GRP 6 |
$ 4,651.81 |
4852 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 1 |
$ 4,951.62 |
4853 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 2 |
$ 5,022.94 |
4854 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 3 |
$ 6,634.22 |
4855 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 4 |
$ 7,308.32 |
4856 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 5 |
$ 9,055.51 |
4857 |
EPS START OF CARE, CLIN C, FUNC F, AGE GRP 6 |
$ 9,309.29 |
4858 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 1 |
$ 8,168.35 |
4859 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 2 |
$ 11,117.71 |
4860 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 3 |
$ 12,335.17 |
4861 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 4 |
$ 12,602.88 |
4862 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 5 |
$ 13,276.91 |
4863 |
EPS START OF CARE, CLIN C, FUNC G, AGE GRP 6 |
$ 13,746.06 |
4864 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 1 |
$ 1,815.47 |
4865 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 2 |
$ 2,494.81 |
4866 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 3 |
$ 3,079.52 |
4867 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 4 |
$ 3,236.02 |
4868 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 5 |
$ 3,130.66 |
4869 |
EPS RECERTIFICATION, CLIN A, FUNC E, AGE GRP 6 |
$ 3,096.04 |
4870 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 1 |
$ 4,352.24 |
4871 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 2 |
$ 4,955.85 |
4872 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 3 |
$ 5,251.64 |
4873 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 4 |
$ 5,783.66 |
4874 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 5 |
$ 6,322.53 |
4875 |
EPS RECERTIFICATION, CLIN A, FUNC F, AGE GRP 6 |
$ 6,426.62 |
4876 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 1 |
$ 5,894.09 |
4877 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 2 |
$ 5,626.41 |
4878 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 3 |
$ 8,209.56 |
4879 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 4 |
$ 8,897.53 |
4880 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 5 |
$ 10,448.74 |
4881 |
EPS RECERTIFICATION, CLIN A, FUNC G, AGE GRP 6 |
$ 10,917.17 |
4882 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 1 |
$ 2,607.50 |
4883 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 2 |
$ 2,838.74 |
4884 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 3 |
$ 3,245.88 |
4885 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 4 |
$ 3,252.92 |
4886 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 5 |
$ 3,122.92 |
4887 |
EPS RECERTIFICATION, CLIN B, FUNC E, AGE GRP 6 |
$ 2,772.21 |
4888 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 1 |
$ 4,804.52 |
4889 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 2 |
$ 5,535.30 |
4890 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 3 |
$ 5,867.99 |
4891 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 4 |
$ 6,297.63 |
4892 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 5 |
$ 7,019.46 |
4893 |
EPS RECERTIFICATION, CLIN B, FUNC F, AGE GRP 6 |
$ 7,621.40 |
4894 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 1 |
$ 7,108.36 |
4895 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 2 |
$ 10,589.31 |
4896 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 3 |
$ 12,524.61 |
4897 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 4 |
$ 12,325.28 |
4898 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 5 |
$ 13,235.02 |
4899 |
EPS RECERTIFICATION, CLIN B, FUNC G, AGE GRP 6 |
$ 14,106.87 |
4900 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 1 |
$ 3,212.11 |
4901 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 2 |
$ 3,705.39 |
4902 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 3 |
$ 4,675.79 |
4903 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 4 |
$ 4,808.06 |
4904 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 5 |
$ 5,104.15 |
4905 |
EPS RECERTIFICATION, CLIN C, FUNC E, AGE GRP 6 |
$ 4,841.73 |
4906 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 1 |
$ 5,118.37 |
4907 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 2 |
$ 6,360.06 |
4908 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 3 |
$ 8,299.70 |
4909 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 4 |
$ 10,216.25 |
4910 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 5 |
$ 11,364.36 |
4911 |
EPS RECERTIFICATION, CLIN C, FUNC F, AGE GRP 6 |
$ 12,806.72 |
4912 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 1 |
$ 10,093.50 |
4913 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 2 |
$ 14,646.10 |
4914 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 3 |
$ 16,424.94 |
4915 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 4 |
$ 15,824.52 |
4916 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 5 |
$ 15,865.08 |
4917 |
EPS RECERTIFICATION, CLIN C, FUNC G, AGE GRP 6 |
$ 15,585.03 |
4919 |
EPS ASSESSMENT WITH NO OASIS, 18 AND OLDER |
$ 5.63 |
4920 |
EPS MATERNITY, NO OASIS, 18 AND OLDER |
$ 1,529.16 |