ServiceType,AuthType,Procedure,ServiceDuration,ServiceSetting,Rate,LocalCode
Assistive Technology ,Assistive Technology,Equipment,Unit,Other setting,0,80211
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,28.97,10110
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,28.97,10111
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Home,28.97,10112
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),28.97,10113
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,14.68,10114
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,14.68,10115
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,28.97,10117
Audiology,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,14.68,10118
Audiology,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,28.97,10310
Audiology,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),28.97,10313
Audiology,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,0,10314
Audiology,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,14.68,10315
Audiology,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,14.68,10318
Audiology,Service,Direct Child Service,1/4 hour,Child Care Center,28.97,10210
Audiology,Service,Direct Child Service,1/4 hour,Community Setting,28.97,10211
Audiology,Service,Direct Child Service,1/4 hour,Home,28.97,10212
Audiology,Service,Direct Child Service,1/4 hour,Hospital (inpatient),28.97,10213
Audiology,Service,Direct Child Service,1/4 hour,Other setting,14.68,10214
Audiology,Service,Direct Child Service,1/4 hour,Program designed for,14.68,10215
Audiology,Service,Direct Child Service,1/4 hour,Residential facility,28.97,10217
Audiology,Service,Direct Child Service,1/4 hour,Service provider loc,14.68,10218
Audiology,Service,E. I. Teaming,1/4 hour,Child Care Center,28.97,10810
Audiology,Service,E. I. Teaming,1/4 hour,Community Setting,28.97,10811
Audiology,Service,E. I. Teaming,1/4 hour,Home,28.97,10812
Audiology,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),28.97,10813
Audiology,Service,E. I. Teaming,1/4 hour,Other setting,14.68,10814
Audiology,Service,E. I. Teaming,1/4 hour,Program designed for,14.68,10815
Audiology,Service,E. I. Teaming,1/4 hour,Residential facility,28.97,10817
Audiology,Service,E. I. Teaming,1/4 hour,Service provider loc,14.68,10818
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,21.18,15110
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,21.18,15111
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Home,21.18,15112
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),21.18,15113
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,10.73,15114
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,10.73,15115
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,21.18,15117
Family Train./Coun./Home ,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,10.73,15118
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,21.18,15310
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,21.18,15311
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Home,21.18,15312
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),21.18,15313
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,10.73,15314
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,10.73,15315
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,21.18,15317
Family Train./Coun./Home ,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,10.73,15318
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Child Care Center,21.18,15210
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Community Setting,21.18,15211
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Home,21.18,15212
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Hospital (inpatient),21.18,15213
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Other setting,10.73,15214
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Program designed for,10.73,15215
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Residential facility,21.18,15217
Family Train./Coun./Home ,Service,Direct Child Service,1/4 hour,Service provider loc,10.73,15218
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Child Care Center,21.18,15810
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Community Setting,21.18,15811
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Home,21.18,15812
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),21.18,15813
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Other setting,10.73,15814
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Program designed for,10.73,15815
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Residential facility,21.18,15817
Family Train./Coun./Home ,Service,E. I. Teaming,1/4 hour,Service provider loc,10.73,15818
Family Train./Coun./Home ,Service,Group,1/4 hour,Other setting,2.5,15414
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,26.28,20110
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,26.28,20111
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Home,26.28,20112
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),26.28,20113
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,13.32,20114
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,13.32,20115
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,26.28,20117
Health,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,13.32,20118
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,26.28,20310
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,26.28,20311
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Home,26.28,20312
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),26.28,20313
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,13.32,20314
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,13.32,20315
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,26.28,20317
Health,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,13.32,20318
Health,Service,Direct Child Service,1/4 hour,Child Care Center,26.28,20210
Health,Service,Direct Child Service,1/4 hour,Community Setting,26.28,20211
Health,Service,Direct Child Service,1/4 hour,Home,26.28,20212
Health,Service,Direct Child Service,1/4 hour,Hospital (inpatient),26.28,20213
Health,Service,Direct Child Service,1/4 hour,Other setting,13.32,20214
Health,Service,Direct Child Service,1/4 hour,Program designed for,13.32,20215
Health,Service,Direct Child Service,1/4 hour,Residential facility,26.28,20217
Health,Service,Direct Child Service,1/4 hour,Service provider loc,13.32,20218
Health,Service,E. I. Teaming,1/4 hour,Child Care Center,26.28,20810
Health,Service,E. I. Teaming,1/4 hour,Community Setting,26.28,20811
Health,Service,E. I. Teaming,1/4 hour,Home,26.28,20812
Health,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),26.28,20813
Health,Service,E. I. Teaming,1/4 hour,Other setting,13.32,20814
Health,Service,E. I. Teaming,1/4 hour,Program designed for,13.32,20815
Health,Service,E. I. Teaming,1/4 hour,Residential facility,26.28,20817
Health,Service,E. I. Teaming,1/4 hour,Service provider loc,13.32,20818
Interim Serv. Coord.(RAU),Service,Child Intake Services,Monthly,Other setting,688,91612
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Child Care Center,11.25,85610
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Community Setting,11.25,85611
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Home,11.25,85612
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Hospital (inpatient),11.25,85613
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Other setting,11.25,85614
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Program designed for,11.25,85615
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Residential facility,11.25,85617
Interpreter,Eval/Assessment,Eval/Assessment,Episode,Service provider loc,11.25,85618
Interpreter,Service,Direct Child Service,Episode,Child Care Center,11.25,85210
Interpreter,Service,Direct Child Service,Episode,Community Setting,11.25,85211
Interpreter,Service,Direct Child Service,Episode,Home,11.25,85212
Interpreter,Service,Direct Child Service,Episode,Hospital (inpatient),11.25,85213
Interpreter,Service,Direct Child Service,Episode,Other setting,11.25,85214
Interpreter,Service,Direct Child Service,Episode,Program designed for,11.25,85215
Interpreter,Service,Direct Child Service,Episode,Residential facility,11.25,85217
Interpreter,Service,Direct Child Service,Episode,Service provider loc,11.25,85218
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,48.94,25110
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,48.94,25111
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Home,48.94,25112
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),48.94,25113
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,24.8,25114
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,24.8,25115
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,48.94,25117
Medical (diag./eval.),Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,24.8,25118
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,48.94,25310
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,48.94,25311
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Home,48.94,25312
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),48.94,25313
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,24.8,25314
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,24.8,25315
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,48.94,25317
Medical (diag./eval.),Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,24.8,25318
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Child Care Center,48.94,25810
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Community Setting,48.94,25811
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Home,48.94,25812
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Hospital (inpatient),48.94,25813
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Other setting,24.8,25814
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Program designed for,24.8,25815
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Residential facility,48.94,25817
Medical (diag./eval.),Service,E. I. Teaming,1/4 hour,Service provider loc,24.8,25818
Mileage Reimbursement,Transportation,Transportation,Mile,Other setting,0.36,95712
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,26.28,30110
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,26.28,30111
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Home,26.28,30112
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),26.28,30113
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,13.32,30114
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,13.32,30115
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,26.28,30117
Nursing,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,13.32,30118
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,26.28,30310
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,26.28,30311
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Home,26.28,30312
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),26.28,30313
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,13.32,30314
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,13.32,30315
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,26.28,30317
Nursing,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,13.32,30318
Nursing,Service,Direct Child Service,1/4 hour,Child Care Center,26.28,30210
Nursing,Service,Direct Child Service,1/4 hour,Community Setting,26.28,30211
Nursing,Service,Direct Child Service,1/4 hour,Home,26.28,30212
Nursing,Service,Direct Child Service,1/4 hour,Hospital (inpatient),26.28,30213
Nursing,Service,Direct Child Service,1/4 hour,Other setting,13.32,30214
Nursing,Service,Direct Child Service,1/4 hour,Program designed for,13.32,30215
Nursing,Service,Direct Child Service,1/4 hour,Residential facility,26.28,30217
Nursing,Service,Direct Child Service,1/4 hour,Service provider loc,13.32,30218
Nursing,Service,E. I. Teaming,1/4 hour,Child Care Center,26.28,30810
Nursing,Service,E. I. Teaming,1/4 hour,Community Setting,26.28,30811
Nursing,Service,E. I. Teaming,1/4 hour,Home,26.28,30812
Nursing,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),26.28,30813
Nursing,Service,E. I. Teaming,1/4 hour,Other setting,13.32,30814
Nursing,Service,E. I. Teaming,1/4 hour,Program designed for,13.32,30815
Nursing,Service,E. I. Teaming,1/4 hour,Residential facility,26.28,30817
Nursing,Service,E. I. Teaming,1/4 hour,Service provider loc,13.32,30818
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,21.03,35110
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,21.03,35111
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Home,21.03,35112
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),21.03,35113
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,10.66,35114
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,10.66,35115
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,21.03,35117
Nutrition,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,10.66,35118
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,21.03,35310
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,21.03,35311
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Home,21.03,35312
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),21.03,35313
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,10.66,35314
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,10.66,35315
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,21.03,35317
Nutrition,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,10.66,35318
Nutrition,Service,Direct Child Service,1/4 hour,Child Care Center,21.03,35210
Nutrition,Service,Direct Child Service,1/4 hour,Community Setting,21.03,35211
Nutrition,Service,Direct Child Service,1/4 hour,Home,21.03,35212
Nutrition,Service,Direct Child Service,1/4 hour,Hospital (inpatient),21.03,35213
Nutrition,Service,Direct Child Service,1/4 hour,Other setting,10.66,35214
Nutrition,Service,Direct Child Service,1/4 hour,Program designed for,10.66,35215
Nutrition,Service,Direct Child Service,1/4 hour,Residential facility,21.03,35217
Nutrition,Service,Direct Child Service,1/4 hour,Service provider loc,10.66,35218
Nutrition,Service,E. I. Teaming,1/4 hour,Child Care Center,21.03,35810
Nutrition,Service,E. I. Teaming,1/4 hour,Community Setting,21.03,35811
Nutrition,Service,E. I. Teaming,1/4 hour,Home,21.03,35812
Nutrition,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),21.03,35813
Nutrition,Service,E. I. Teaming,1/4 hour,Other setting,10.66,35814
Nutrition,Service,E. I. Teaming,1/4 hour,Program designed for,10.66,35815
Nutrition,Service,E. I. Teaming,1/4 hour,Residential facility,21.03,35817
Nutrition,Service,E. I. Teaming,1/4 hour,Service provider loc,10.66,35818
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,28.35,40110
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,28.35,40111
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Home,28.35,40112
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),28.35,40113
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,14.37,40114
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,14.37,40115
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,28.35,40117
Occupational Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,14.37,40118
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,28.35,40310
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,28.35,40311
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Home,28.35,40312
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),28.35,40313
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,14.37,40314
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,14.37,40315
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,28.35,40317
Occupational Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,14.37,40318
Occupational Therapy,Service,Direct Child Service,1/4 hour,Child Care Center,28.35,40210
Occupational Therapy,Service,Direct Child Service,1/4 hour,Community Setting,28.35,40211
Occupational Therapy,Service,Direct Child Service,1/4 hour,Home,28.35,40212
Occupational Therapy,Service,Direct Child Service,1/4 hour,Hospital (inpatient),28.35,40213
Occupational Therapy,Service,Direct Child Service,1/4 hour,Other setting,14.37,40214
Occupational Therapy,Service,Direct Child Service,1/4 hour,Program designed for,14.37,40215
Occupational Therapy,Service,Direct Child Service,1/4 hour,Residential facility,28.35,40217
Occupational Therapy,Service,Direct Child Service,1/4 hour,Service provider loc,14.37,40218
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Child Care Center,28.35,40810
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Community Setting,28.35,40811
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Home,28.35,40812
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),28.35,40813
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Other setting,14.37,40814
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Program designed for,14.37,40815
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Residential facility,28.35,40817
Occupational Therapy,Service,E. I. Teaming,1/4 hour,Service provider loc,14.37,40818
Other Family Expenses,Other Services,Travel-Related Expenses,None,Other setting,0,99900
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,30.46,45110
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,30.46,45111
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Home,30.46,45112
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),30.46,45113
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,15.43,45114
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,15.43,45115
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,30.46,45117
Physical Therapy,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,15.43,45118
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,30.46,45310
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,30.46,45311
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Home,30.46,45312
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),30.46,45313
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,15.43,45314
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,15.43,45315
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,30.46,45317
Physical Therapy,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,15.43,45318
Physical Therapy,Service,Direct Child Service,1/4 hour,Child Care Center,30.46,45210
Physical Therapy,Service,Direct Child Service,1/4 hour,Community Setting,30.46,45211
Physical Therapy,Service,Direct Child Service,1/4 hour,Home,30.46,45212
Physical Therapy,Service,Direct Child Service,1/4 hour,Hospital (inpatient),30.46,45213
Physical Therapy,Service,Direct Child Service,1/4 hour,Other setting,15.43,45214
Physical Therapy,Service,Direct Child Service,1/4 hour,Program designed for,15.43,45215
Physical Therapy,Service,Direct Child Service,1/4 hour,Residential facility,30.46,45217
Physical Therapy,Service,Direct Child Service,1/4 hour,Service provider loc,15.43,45218
Physical Therapy,Service,E. I. Teaming,1/4 hour,Child Care Center,30.46,45810
Physical Therapy,Service,E. I. Teaming,1/4 hour,Community Setting,30.46,45811
Physical Therapy,Service,E. I. Teaming,1/4 hour,Home,30.46,45812
Physical Therapy,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),30.46,45813
Physical Therapy,Service,E. I. Teaming,1/4 hour,Other setting,15.43,45814
Physical Therapy,Service,E. I. Teaming,1/4 hour,Program designed for,15.43,45815
Physical Therapy,Service,E. I. Teaming,1/4 hour,Residential facility,30.46,45817
Physical Therapy,Service,E. I. Teaming,1/4 hour,Service provider loc,15.43,45818
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,38.73,50110
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,38.73,50111
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Home,38.73,50112
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),38.73,50113
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,19.62,50114
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,19.62,50115
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,38.73,50117
Psychological,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,19.62,50118
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,38.73,50310
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,38.73,50311
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Home,38.73,50312
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),38.73,50313
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,19.62,50314
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,19.62,50315
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,38.73,50317
Psychological,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,19.62,50318
Psychological,Service,Direct Child Service,1/4 hour,Child Care Center,38.73,50210
Psychological,Service,Direct Child Service,1/4 hour,Community Setting,38.73,50211
Psychological,Service,Direct Child Service,1/4 hour,Home,38.73,50212
Psychological,Service,Direct Child Service,1/4 hour,Hospital (inpatient),38.73,50213
Psychological,Service,Direct Child Service,1/4 hour,Other setting,19.62,50214
Psychological,Service,Direct Child Service,1/4 hour,Program designed for,19.62,50215
Psychological,Service,Direct Child Service,1/4 hour,Residential facility,38.73,50217
Psychological,Service,Direct Child Service,1/4 hour,Service provider loc,19.62,50218
Psychological,Service,E. I. Teaming,1/4 hour,Child Care Center,38.73,50810
Psychological,Service,E. I. Teaming,1/4 hour,Community Setting,38.73,50811
Psychological,Service,E. I. Teaming,1/4 hour,Home,38.73,50812
Psychological,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),38.73,50813
Psychological,Service,E. I. Teaming,1/4 hour,Other setting,19.62,50814
Psychological,Service,E. I. Teaming,1/4 hour,Program designed for,19.62,50815
Psychological,Service,E. I. Teaming,1/4 hour,Residential facility,38.73,50817
Psychological,Service,E. I. Teaming,1/4 hour,Service provider loc,19.62,50818
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,17.7,55110
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,17.7,55111
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Home,17.7,55112
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),17.7,55113
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,8.97,55114
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,8.97,55115
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,17.7,55117
Service Coordination,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,8.97,55118
Service Coordination,Other Services,Non Face-to-Face,Monthly,Other setting,30,55511
Service Coordination,Service,Direct Child Service,1/4 hour,Child Care Center,17.7,55210
Service Coordination,Service,Direct Child Service,1/4 hour,Community Setting,17.7,55211
Service Coordination,Service,Direct Child Service,1/4 hour,Home,17.7,55212
Service Coordination,Service,Direct Child Service,1/4 hour,Hospital (inpatient),17.7,55213
Service Coordination,Service,Direct Child Service,1/4 hour,Other setting,8.97,55214
Service Coordination,Service,Direct Child Service,1/4 hour,Program designed for,8.97,55215
Service Coordination,Service,Direct Child Service,1/4 hour,Residential facility,17.7,55217
Service Coordination,Service,Direct Child Service,1/4 hour,Service provider loc,8.97,55218
Service Coordination,Service,E. I. Teaming,1/4 hour,Child Care Center,17.7,55810
Service Coordination,Service,E. I. Teaming,1/4 hour,Community Setting,17.7,55811
Service Coordination,Service,E. I. Teaming,1/4 hour,Home,17.7,55812
Service Coordination,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),17.7,55813
Service Coordination,Service,E. I. Teaming,1/4 hour,Other setting,8.97,55814
Service Coordination,Service,E. I. Teaming,1/4 hour,Program designed for,8.97,55815
Service Coordination,Service,E. I. Teaming,1/4 hour,Residential facility,17.7,55817
Service Coordination,Service,E. I. Teaming,1/4 hour,Service provider loc,8.97,55818
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,21.18,60110
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,21.18,60111
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Home,21.18,60112
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),21.18,60113
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,10.73,60114
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,10.73,60115
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,21.18,60117
Social Work,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,10.73,60118
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,21.18,60310
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,21.18,60311
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Home,21.18,60312
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),21.18,60313
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,10.73,60314
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,10.73,60315
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,21.18,60317
Social Work,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,10.73,60318
Social Work,Service,Direct Child Service,1/4 hour,Child Care Center,21.18,60210
Social Work,Service,Direct Child Service,1/4 hour,Community Setting,21.18,60211
Social Work,Service,Direct Child Service,1/4 hour,Home,21.18,60212
Social Work,Service,Direct Child Service,1/4 hour,Hospital (inpatient),21.18,60213
Social Work,Service,Direct Child Service,1/4 hour,Other setting,10.73,60214
Social Work,Service,Direct Child Service,1/4 hour,Program designed for,10.73,60215
Social Work,Service,Direct Child Service,1/4 hour,Residential facility,21.18,60217
Social Work,Service,Direct Child Service,1/4 hour,Service provider loc,10.73,60218
Social Work,Service,E. I. Teaming,1/4 hour,Child Care Center,21.18,60810
Social Work,Service,E. I. Teaming,1/4 hour,Community Setting,21.18,60811
Social Work,Service,E. I. Teaming,1/4 hour,Home,21.18,60812
Social Work,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),21.18,60813
Social Work,Service,E. I. Teaming,1/4 hour,Other setting,10.73,60814
Social Work,Service,E. I. Teaming,1/4 hour,Program designed for,10.73,60815
Social Work,Service,E. I. Teaming,1/4 hour,Residential facility,21.18,60817
Social Work,Service,E. I. Teaming,1/4 hour,Service provider loc,10.73,60818
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,17.7,65110
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,17.7,65111
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Home,17.7,65112
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),17.7,65113
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,8.97,65114
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,8.97,65115
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,17.7,65117
Special Instruction,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,8.97,65118
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,17.7,65310
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,17.7,65311
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Home,17.7,65312
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),17.7,65313
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,8.97,65314
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,8.97,65315
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,17.7,65317
Special Instruction,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,8.97,65318
Special Instruction,Service,Direct Child Service,1/4 hour,Child Care Center,17.7,65210
Special Instruction,Service,Direct Child Service,1/4 hour,Community Setting,17.7,65211
Special Instruction,Service,Direct Child Service,1/4 hour,Home,17.7,65212
Special Instruction,Service,Direct Child Service,1/4 hour,Hospital (inpatient),17.7,65213
Special Instruction,Service,Direct Child Service,1/4 hour,Other setting,8.97,65214
Special Instruction,Service,Direct Child Service,1/4 hour,Program designed for,8.97,65215
Special Instruction,Service,Direct Child Service,1/4 hour,Residential facility,17.7,65217
Special Instruction,Service,Direct Child Service,1/4 hour,Service provider loc,8.97,65218
Special Instruction,Service,E. I. Teaming,1/4 hour,Child Care Center,17.7,65810
Special Instruction,Service,E. I. Teaming,1/4 hour,Community Setting,17.7,65811
Special Instruction,Service,E. I. Teaming,1/4 hour,Home,17.7,65812
Special Instruction,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),17.7,65813
Special Instruction,Service,E. I. Teaming,1/4 hour,Other setting,8.97,65814
Special Instruction,Service,E. I. Teaming,1/4 hour,Program designed for,8.97,65815
Special Instruction,Service,E. I. Teaming,1/4 hour,Residential facility,17.7,65817
Special Instruction,Service,E. I. Teaming,1/4 hour,Service provider loc,8.97,65818
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,24.14,70110
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,24.14,70111
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Home,24.14,70112
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),24.14,70113
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,12.23,70114
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,12.23,70115
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,24.14,70117
Speech Language Pathology,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,12.23,70118
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,24.14,70310
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,24.14,70311
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Home,24.14,70312
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),24.14,70313
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,12.23,70314
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,12.23,70315
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,24.14,70317
Speech Language Pathology,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,12.23,70318
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Child Care Center,24.14,70210
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Community Setting,24.14,70211
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Home,24.14,70212
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Hospital (inpatient),24.14,70213
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Other setting,12.23,70214
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Program designed for,12.23,70215
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Residential facility,24.14,70217
Speech Language Pathology,Service,Direct Child Service,1/4 hour,Service provider loc,12.23,70218
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Child Care Center,24.14,70810
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Community Setting,24.14,70811
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Home,24.14,70812
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),24.14,70813
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Other setting,12.23,70814
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Program designed for,12.23,70815
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Residential facility,24.14,70817
Speech Language Pathology,Service,E. I. Teaming,1/4 hour,Service provider loc,12.23,70818
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Child Care Center,24.61,75110
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Community Setting,24.61,75111
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Home,24.61,75112
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Hospital (inpatient),24.61,75113
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Other setting,12.47,75114
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Program designed for,12.47,75115
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Residential facility,24.61,75117
Vision,Eval/Assessment,E. I. Teaming,1/4 hour,Service provider loc,12.47,75118
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Child Care Center,24.61,75310
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Community Setting,24.61,75311
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Home,24.61,75312
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Hospital (inpatient),24.61,75313
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Other setting,12.47,75314
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Program designed for,12.47,75315
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Residential facility,24.61,75317
Vision,Eval/Assessment,Eval/Assessment,1/4 hour,Service provider loc,12.47,75318
Vision,Service,Direct Child Service,1/4 hour,Child Care Center,24.61,75210
Vision,Service,Direct Child Service,1/4 hour,Community Setting,24.61,75211
Vision,Service,Direct Child Service,1/4 hour,Home,24.61,75212
Vision,Service,Direct Child Service,1/4 hour,Hospital (inpatient),24.61,75213
Vision,Service,Direct Child Service,1/4 hour,Other setting,12.47,75214
Vision,Service,Direct Child Service,1/4 hour,Program designed for,12.47,75215
Vision,Service,Direct Child Service,1/4 hour,Residential facility,24.61,75217
Vision,Service,Direct Child Service,1/4 hour,Service provider loc,12.47,75218
Vision,Service,E. I. Teaming,1/4 hour,Child Care Center,24.61,75810
Vision,Service,E. I. Teaming,1/4 hour,Community Setting,24.61,75811
Vision,Service,E. I. Teaming,1/4 hour,Home,24.61,75812
Vision,Service,E. I. Teaming,1/4 hour,Hospital (inpatient),24.61,75813
Vision,Service,E. I. Teaming,1/4 hour,Other setting,12.47,75814
Vision,Service,E. I. Teaming,1/4 hour,Program designed for,12.47,75815
Vision,Service,E. I. Teaming,1/4 hour,Residential facility,24.61,75817
Vision,Service,E. I. Teaming,1/4 hour,Service provider loc,12.47,75818