| 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 |