{"text_format":"1","workbook":"xlsx","n_sheets":16,"sheets":["Lookup","1. Overview","2. Medicare Parity FFS","2a. Medicare Parity FFS UP","2b. Medicare Parity NonFFS","3. PC %Spend DE Attributed Memb","3a. PC % Spend All Members","3b. Care Transformation","4. NonProfessional Price Growth","5. APMA Fixed Payment Methods","5a. APMA HCP-LAN","6. Demographic Information","7. Notes","8. App A - PC CPTs","9. App B - PC Taxonomy","10. App C - PC POS"],"not_rendered":{"charts":0,"images":0,"macros":1,"external_links":0,"defined_names":37,"comments":0,"pivot_tables":0},"unopened":[],"bounds":{"document_bytes":16777216,"sheet_cells":100000,"rows_first":2000,"rows_last":500,"rows_between":2000,"halvings":0,"cell_chars":16384,"cell_head_chars":4096},"cells_cut":0,"cells_raw":0,"read":"whole","date_system":"1900"}

{"sheet":"Lookup","index":0,"n_rows":86,"n_cols":6,"rows_kept":86,"cut":false,"hidden":true,"merged":[[42,1,42,2],[41,1,41,2],[50,1,50,2]]}
[null,"Utilization in CY 2024 (Yes or No)"]
[null,"Yes"]
[null,"No"]
[]
[]
[null,"This table has the error messages for WS 2 and 2a:"]
[null,"UTIL is \"Yes\", LAA is >= Medicare Fee","Valid"]
[null,"UTIL is \"No\", LAA>Fee","Column has been reported as \"No Utilization\", however an Allowed Amount has been provided.  Please check Utilization."]
[null,"UTIL is \"Yes\", LAA is < Medicare Fee","Please complete Worksheet 2a for this CPT Code - May be out of compliance"]
[null,"UTIL is \"No\", LAA<Fee","Column has been reported as \"No Utilization\", however an Allowed Amount has been provided.  Please check Utilization."]
[null,"Message when UTIL is blank and LAA non-blank","Please report if there was utilization in CY 2024."]
[null,"UTIL is \"Yes\", but no LAA provided","Please provide Lowest Allowed Amount."]
[null,"Column C has no dollar amount","No Medicare Fee Available"]
[null,"For future year (2024) - Contracted Fee is >= Medicare Fee","Valid - Contracted Fee is >= Medicare Fee"]
[null,"For future year (2024) - Contracted Fee is < Medicare Fee","May be out of compliance"]
[null,"WS 2a - col D blank, but Col E>0","Please enter an Allowed amount"]
[]
[null,"Error Messages in Demographic Worksheet"]
[null,"ERROR, Membership reported for Delaware Residents must be less than Total (Delaware Residents is a subset of the Total market)"]
[]
[null,"This table has the Market Segment possible selections"]
[null,"Individual Market"]
[null,"Small Group Market"]
[null,"Large Group Market"]
[null,"Student Health Plan Market"]
[]
[]
[]
[null,"Please confirm the the market segment specified is consistent with Worksheets 2, 2a, 3, 3a, and 4."]
[]
[null,"Error Messages in Worksheet 3a and 4:"]
[null,"ERROR, attributed data must be a subset (lower) than total data"]
[null,"ERROR, Professional primary care must be less than Total professional"]
[null,"ERROR, CY 2023 (CY 2023 / CY2022) Trend doesn't match Worksheet 3a"]
[null,"ERROR, CY 2024 (CY 2024 / CY2023) Trend doesn't match Worksheet 3a"]
[null,"ERROR, CY 2025 (CY 2025 / CY2024) Trend doesn't match Worksheet 3a"]
[null,"ERROR, CY 2026 (CY 2026 / CY2025) Trend doesn't match Worksheet 3a"]
[]
[]
[null,"Trend Consistency Check Tolerance",1E-3]
[]
[null,"This table has the error meessages for above threshold in the Overview WS, wrt WS 3"]
["Year","Check Compliance of CY % of Medical is below thresholds"]
[2021,"No Check",{"$f":"\"CY \"&A44&\" % of Medical below threshold\"","v":"CY 2021 % of Medical below threshold"},{"$f":"\"CY \"&A44&\" is compliant\"","v":"CY 2021 is compliant"}]
[2022,"No Check",{"$f":"\"CY \"&A45&\" % of Medical below threshold\"","v":"CY 2022 % of Medical below threshold"},{"$f":"\"CY \"&A45&\" is compliant\"","v":"CY 2022 is compliant"}]
[2023,8.5000000000000006E-2,"CY 2023 % of Medical below threshold","CY 2023 is compliant"]
[2024,0.1,"CY 2024 % of Medical below threshold","CY 2024 is compliant"]
[2025,0.115,"CY 2025 % of Medical below threshold","CY 2025 is compliant"]
[2026,0.115,{"$f":"\"CY \"&A49&\" % of Medical below threshold\"","v":"CY 2026 % of Medical below threshold"},"CY 2026 is compliant"]
[]
[null,"This table has the thresholds for price growth cap and also the associated error messages"]
["Year","IP Hos Price Trend Check","OP Hos Price Trend Check","Other Medical Price Trend Check","Error messages","No error messages"]
[2021,"No cap","No cap","No cap",{"$f":"\"CY \"&A53&\" Price growth is above threshold\"","v":"CY 2021 Price growth is above threshold"},{"$f":"\"CY \"&A53&\" is compliant\"","v":"CY 2021 is compliant"}]
[2022,"No cap","No cap","No cap",{"$f":"\"CY \"&A54&\" Price growth is above threshold\"","v":"CY 2022 Price growth is above threshold"},{"$f":"\"CY \"&A54&\" is compliant\"","v":"CY 2022 is compliant"}]
[2023,5.5E-2,5.5E-2,5.5E-2,{"$f":"\"CY \"&A55&\" Price growth is above threshold\"","v":"CY 2023 Price growth is above threshold"},{"$f":"\"CY \"&A55&\" is compliant\"","v":"CY 2023 is compliant"}]
[2024,5.7599999999999998E-2,5.7599999999999998E-2,5.7599999999999998E-2,"CY 2024 Price growth is above threshold","CY 2024 is compliant"]
[2025,6.3500000000000001E-2,6.3500000000000001E-2,6.3500000000000001E-2,"CY 2025 Price growth is above threshold","CY 2025 is compliant"]
[2026,5.5E-2,5.5E-2,5.5E-2,{"$f":"\"CY \"&A58&\" Price growth is above threshold\"","v":"CY 2026 Price growth is above threshold"},{"$f":"\"CY \"&A58&\" is compliant\"","v":"CY 2026 is compliant"}]
[]
[null,"Selections in WS 3b. For \"Year\""]
[null,"CY 2024"]
[null,"Q1 2025"]
[]
[]
[null,"Selections in WS 3b. For \"Participating\""]
[null,"Participating"]
[null,"Not Participating"]
[]
[]
[null,"Selections in WS 3b. For \"Participating Program(s)\"","Error message in WS 3b. for \"Participating Program(s)\" other than \"None\", when Non-participating PCP."]
[null,"Carrier"]
[null,"NCQA PCMH"]
[null,"Primary Care First"]
[null,"None","ERROR, Data provided in this section is for Non-Participating PCPs.  However, you have selected a Participating Program of something besides None.  Please provide an explanation in Column O."]
[null,"Other"]
[]
[null,"Selections in WS 3b. For \"Year\""]
[null,"Audit"]
[null,"Attestation"]
[null,"Attestation and Audit"]
[null,"Other"]
[]
[null,"Selections in WS 5. For \"Inpatient\" and \"Outpatient\""]
[null,"All Fixed Payments"]
[null,"Some Fixed Payments"]
[null,"No Fixed Payments"]

{"sheet":"1. Overview","index":1,"n_rows":66,"n_cols":10,"rows_kept":66,"cut":false,"hidden":false,"merged":[[52,0,52,1],[1,0,1,10],[43,0,43,1],[26,0,26,2],[24,0,24,2],[33,0,33,3]]}
["Delaware Affordability Standards Data Request Template "]
["Overview"]
["Updated: 3/14/2025"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["Health Insurance Carrier Name:"]
["Carrier Lead Contact:"]
["Market Segment:",null,{"$f":"IF(ISBLANK($B$21),\"\",IF(AND(B21='3a. PC % Spend All Members'!C1,B21='3. PC %Spend DE Attributed Memb'!C1,B21='4. NonProfessional Price Growth'!C1,B21='2. Medicare Parity FFS'!B1,B21='2a. Medicare Parity FFS UP'!B1),\"\",Lookup!$B$29))","v":""}]
[]
[]
[]
["This dashboard shows summary information and potential areas where data may have been provided in error."]
[]
["Worksheet 2 and 2a: Issues"]
["Issue","2024 Facility Price","2024 Non-Facility Price"]
["Lowest Allowed Amount Less Than Medicare Fee",{"$f":"COUNTIF('2. Medicare Parity FFS'!$F$4:$F$311,Lookup!$C$9)","v":0},{"$f":"COUNTIF('2. Medicare Parity FFS'!$J$4:$J$311,Lookup!$C$9)","v":0}]
["Total Potential Underpayment ",{"$f":"'2a. Medicare Parity FFS UP'!F2","v":0},{"$f":"'2a. Medicare Parity FFS UP'!K2","v":0}]
[]
[]
[]
["Worksheet 3:  Primary Care % of Medical"]
["Year","Primary Care % of Medical (from Worksheet 3)","Check Compliance: % of Medical must be above threshold","Worksheet 3 Check"]
[2022,{"$f":"'3. PC %Spend DE Attributed Memb'!$F$36","v":0},{"$f":"Lookup!B45","v":"No Check"},{"$f":"IF(ISNUMBER(C36),IF(B36<C36,Lookup!C45,Lookup!D45),C36)","v":"No Check"}]
[2023,{"$f":"'3. PC %Spend DE Attributed Memb'!$K$36","v":0},{"$f":"Lookup!B46","v":8.5000000000000006E-2},{"$f":"IF(ISNUMBER(C37),IF(B37<C37,Lookup!C46,Lookup!D46),C37)","v":"CY 2023 % of Medical below threshold"}]
[2024,{"$f":"'3. PC %Spend DE Attributed Memb'!$S$36","v":0},{"$f":"Lookup!B47","v":0.1},{"$f":"IF(ISNUMBER(C38),IF(B38<C38,Lookup!C47,Lookup!D47),C38)","v":"CY 2024 % of Medical below threshold"}]
[2025,{"$f":"'3. PC %Spend DE Attributed Memb'!$D$73","v":0},{"$f":"Lookup!B48","v":0.115},{"$f":"IF(ISNUMBER(C39),IF(B39<C39,Lookup!C48,Lookup!D48),C39)","v":"CY 2025 % of Medical below threshold"}]
[2026,{"$f":"'3. PC %Spend DE Attributed Memb'!$I$73","v":0},{"$f":"Lookup!B49","v":0.115},{"$f":"IF(ISNUMBER(C40),IF(B40<C40,Lookup!C49,Lookup!D49),C40)","v":"CY 2026 % of Medical below threshold"}]
[]
[]
[]
["Worksheet 3a: # of Errors"]
[2022,{"$f":"COUNTIF('3a. PC % Spend All Members'!$H$7:$H$34,Lookup!$B$32)","v":0}]
[2023,{"$f":"COUNTIF('3a. PC % Spend All Members'!$P$7:$P$34,Lookup!$B$32)","v":0}]
[2024,{"$f":"COUNTIF('3a. PC % Spend All Members'!$Z$7:$Z$34,Lookup!$B$32)","v":0}]
[2025,{"$f":"COUNTIF('3a. PC % Spend All Members'!$H$44:$H$71,Lookup!$B$32)","v":0}]
[2026,{"$f":"COUNTIF('3a. PC % Spend All Members'!$P$44:$P$71,Lookup!$B$32)","v":0}]
[]
[]
[]
["Worksheet 4: # of Errors"]
["CY 2023 (CY 2023 / CY2022)",{"$f":"COUNTIF('4. NonProfessional Price Growth'!$M$7:$M$30,Lookup!B34)","v":0}]
["CY 2024 (CY 2024 / CY2023)",{"$f":"COUNTIF('4. NonProfessional Price Growth'!$S$7:$S$30,Lookup!B35)","v":0}]
["CY 2025 (CY 2025 / CY2024)",{"$f":"COUNTIF('4. NonProfessional Price Growth'!$G$37:$G$60,Lookup!B36)","v":0}]
["CY 2026 (CY 2026 / CY2025)",{"$f":"COUNTIF('4. NonProfessional Price Growth'!$M$37:$M$60,Lookup!B37)","v":0}]
[]
[]
["History of Hospital IP, OP, Other price trend"]
["Year","IP Hos Price Trend (from Worksheet 4)","OP Hos Price Trend (from Worksheet 4)","Other Medical Price Trend (from Worksheet 4)","IP price growth threshold","OP price growth threshold","Other Medical price growth threshold","IP Price Growth Check","OP Price Growth Check","Other Medical Price Growth Check"]
[2022,{"$f":"'4. NonProfessional Price Growth'!C7","v":0},{"$f":"'4. NonProfessional Price Growth'!C8","v":0},{"$f":"'4. NonProfessional Price Growth'!C10","v":0},{"$f":"Lookup!B53","v":"No cap"},{"$f":"Lookup!C53","v":"No cap"},{"$f":"Lookup!D53","v":"No cap"},{"$f":"IF(ISNUMBER(G62),IF(E62<B62,Lookup!E53,Lookup!F53),G62)","v":"No cap"},{"$f":"IF(ISNUMBER(H62),IF(F62<C62,Lookup!E53,Lookup!F53),H62)","v":"No cap"},{"$f":"IF(ISNUMBER(I62),IF(F62<D62,Lookup!E53,Lookup!F53),I62)","v":"No cap"}]
[2023,{"$f":"'4. NonProfessional Price Growth'!I7","v":0},{"$f":"'4. NonProfessional Price Growth'!I8","v":0},{"$f":"'4. NonProfessional Price Growth'!I10","v":0},{"$f":"Lookup!B55","v":5.5E-2},{"$f":"Lookup!C55","v":5.5E-2},{"$f":"Lookup!D55","v":5.5E-2},{"$f":"IF(ISNUMBER(G63),IF(E63<B63,Lookup!E55,Lookup!F55),G63)","v":"CY 2023 is compliant"},{"$f":"IF(ISNUMBER(H63),IF(F63<C63,Lookup!E55,Lookup!F55),H63)","v":"CY 2023 is compliant"},{"$f":"IF(ISNUMBER(I63),IF(F63<D63,Lookup!E55,Lookup!F55),I63)","v":"CY 2023 is compliant"}]
[2024,{"$f":"'4. NonProfessional Price Growth'!O7","v":0},{"$f":"'4. NonProfessional Price Growth'!O8","v":0},{"$f":"'4. NonProfessional Price Growth'!O10","v":0},{"$f":"Lookup!B56","v":5.7599999999999998E-2},{"$f":"Lookup!C56","v":5.7599999999999998E-2},{"$f":"Lookup!D56","v":5.7599999999999998E-2},{"$f":"IF(ISNUMBER(G64),IF(E64<B64,Lookup!E56,Lookup!F56),G64)","v":"CY 2024 is compliant"},{"$f":"IF(ISNUMBER(H64),IF(F64<C64,Lookup!E55,Lookup!F55),H64)","v":"CY 2024 is compliant"},{"$f":"IF(ISNUMBER(I64),IF(F64<D64,Lookup!E55,Lookup!F55),I64)","v":"CY 2024 is compliant"}]
[2025,{"$f":"'4. NonProfessional Price Growth'!C37","v":0},{"$f":"'4. NonProfessional Price Growth'!C38","v":0},{"$f":"'4. NonProfessional Price Growth'!C40","v":0},{"$f":"Lookup!B57","v":6.3500000000000001E-2},{"$f":"Lookup!C57","v":6.3500000000000001E-2},{"$f":"Lookup!D57","v":6.3500000000000001E-2},{"$f":"IF(ISNUMBER(G65),IF(E65<B65,Lookup!E57,Lookup!F57),G65)","v":"CY 2025 is compliant"},{"$f":"IF(ISNUMBER(H65),IF(F65<C65,Lookup!E56,Lookup!F56),H65)","v":"CY 2025 is compliant"},{"$f":"IF(ISNUMBER(I65),IF(F65<D65,Lookup!E56,Lookup!F56),I65)","v":"CY 2025 is compliant"}]
[2026,{"$f":"'4. NonProfessional Price Growth'!I37","v":0},{"$f":"'4. NonProfessional Price Growth'!I38","v":0},{"$f":"'4. NonProfessional Price Growth'!I40","v":0},{"$f":"Lookup!B58","v":5.5E-2},{"$f":"Lookup!C58","v":5.5E-2},{"$f":"Lookup!D58","v":5.5E-2},{"$f":"IF(ISNUMBER(G66),IF(E66<B66,Lookup!E58,Lookup!F58),G66)","v":"CY 2026 is compliant"},{"$f":"IF(ISNUMBER(H66),IF(F66<C66,Lookup!E57,Lookup!F57),H66)","v":"CY 2026 is compliant"},{"$f":"IF(ISNUMBER(I66),IF(F66<D66,Lookup!E57,Lookup!F57),I66)","v":"CY 2026 is compliant"}]

{"sheet":"2. Medicare Parity FFS","index":2,"n_rows":489,"n_cols":17,"rows_kept":489,"cut":false,"hidden":false,"merged":[[0,2,0,9],[1,2,1,5],[1,6,1,9],[0,11,0,16],[1,11,1,13],[1,14,1,16]]}
["Please Indicate Market Segment: ",null,2024,null,null,null,null,null,null,null,null,2025]
[null,null,"Facility Price",null,null,null,"Non-Facility Price",null,null,null,null,"Facility Price ",null,null,"Non-Facility Price "]
["CPT Code","Description","Medicare Fee for Delaware (Non-Facility) ","Utilization during CY 2024 (Yes or No)","Lowest Allowed Amount ","Check (If Lower than Medicare) ","Medicare Fee for Delaware (Non-Facility) ","Utilization during CY 2024 (Yes or No)","Lowest Allowed Amount ","Check (If Lower than Medicare) ",null,"Medicare Fee for Delaware (Non-Facility) ","Lowest Contracted Fee ","Check (If Lower than Medicare) ","Medicare Fee for Delaware (Non-Facility) ","Lowest Contracted Fee ","Check (If Lower than Medicare) "]
[10040,"Acne surgery",115.95,null,null,{"$f":"IF(ISNUMBER(C4),IF(OR(AND(ISBLANK(D4),ISBLANK(E4)),AND(D4=\"No\",ISBLANK(E4))),\"\",IF(AND(ISBLANK(D4),ISNUMBER(E4)),Lookup!$C$11,IF(AND(D4=\"Yes\",ISBLANK(E4)),Lookup!$C$12,IF(AND(D4=\"Yes\",E4>=C4),Lookup!$C$7,IF(AND(D4=\"No\",E4>=C4),Lookup!$C$8,IF(AND(D4=\"Yes\",E4<C4),Lookup!$C$9,IF(AND(D4=\"No\",E4<C4),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},115.95,null,null,{"$f":"IF(ISNUMBER(G4),IF(OR(AND(ISBLANK(H4),ISBLANK(I4)),AND(H4=\"No\",ISBLANK(I4))),\"\",IF(AND(ISBLANK(H4),ISNUMBER(I4)),Lookup!$C$11,IF(AND(H4=\"Yes\",ISBLANK(I4)),Lookup!$C$12,IF(AND(H4=\"Yes\",I4>=G4),Lookup!$C$7,IF(AND(H4=\"No\",I4>=G4),Lookup!$C$8,IF(AND(H4=\"Yes\",I4<G4),Lookup!$C$9,IF(AND(H4=\"No\",I4<G4),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,112.03,null,{"$f":"IF(ISNUMBER(L4),IF(ISBLANK(M4),\"\",IF(M4>=L4,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},112.03,null,{"$f":"IF(ISNUMBER(O4),IF(ISBLANK(P4),\"\",IF(P4>=O4,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10060,"Drainage Of Skin Abscess Simple",126.98,null,null,{"$f":"IF(ISNUMBER(C5),IF(OR(AND(ISBLANK(D5),ISBLANK(E5)),AND(D5=\"No\",ISBLANK(E5))),\"\",IF(AND(ISBLANK(D5),ISNUMBER(E5)),Lookup!$C$11,IF(AND(D5=\"Yes\",ISBLANK(E5)),Lookup!$C$12,IF(AND(D5=\"Yes\",E5>=C5),Lookup!$C$7,IF(AND(D5=\"No\",E5>=C5),Lookup!$C$8,IF(AND(D5=\"Yes\",E5<C5),Lookup!$C$9,IF(AND(D5=\"No\",E5<C5),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},126.98,null,null,{"$f":"IF(ISNUMBER(G5),IF(OR(AND(ISBLANK(H5),ISBLANK(I5)),AND(H5=\"No\",ISBLANK(I5))),\"\",IF(AND(ISBLANK(H5),ISNUMBER(I5)),Lookup!$C$11,IF(AND(H5=\"Yes\",ISBLANK(I5)),Lookup!$C$12,IF(AND(H5=\"Yes\",I5>=G5),Lookup!$C$7,IF(AND(H5=\"No\",I5>=G5),Lookup!$C$8,IF(AND(H5=\"Yes\",I5<G5),Lookup!$C$9,IF(AND(H5=\"No\",I5<G5),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,123.71,null,{"$f":"IF(ISNUMBER(L5),IF(ISBLANK(M5),\"\",IF(M5>=L5,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},123.71,null,{"$f":"IF(ISNUMBER(O5),IF(ISBLANK(P5),\"\",IF(P5>=O5,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10061,"Drainage Of Skin Abscess Complicated",214.58,null,null,{"$f":"IF(ISNUMBER(C6),IF(OR(AND(ISBLANK(D6),ISBLANK(E6)),AND(D6=\"No\",ISBLANK(E6))),\"\",IF(AND(ISBLANK(D6),ISNUMBER(E6)),Lookup!$C$11,IF(AND(D6=\"Yes\",ISBLANK(E6)),Lookup!$C$12,IF(AND(D6=\"Yes\",E6>=C6),Lookup!$C$7,IF(AND(D6=\"No\",E6>=C6),Lookup!$C$8,IF(AND(D6=\"Yes\",E6<C6),Lookup!$C$9,IF(AND(D6=\"No\",E6<C6),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},214.58,null,null,{"$f":"IF(ISNUMBER(G6),IF(OR(AND(ISBLANK(H6),ISBLANK(I6)),AND(H6=\"No\",ISBLANK(I6))),\"\",IF(AND(ISBLANK(H6),ISNUMBER(I6)),Lookup!$C$11,IF(AND(H6=\"Yes\",ISBLANK(I6)),Lookup!$C$12,IF(AND(H6=\"Yes\",I6>=G6),Lookup!$C$7,IF(AND(H6=\"No\",I6>=G6),Lookup!$C$8,IF(AND(H6=\"Yes\",I6<G6),Lookup!$C$9,IF(AND(H6=\"No\",I6<G6),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,207.57,null,{"$f":"IF(ISNUMBER(L6),IF(ISBLANK(M6),\"\",IF(M6>=L6,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},207.57,null,{"$f":"IF(ISNUMBER(O6),IF(ISBLANK(P6),\"\",IF(P6>=O6,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10080,"Drainage Of Pilonidal Cyst Simple",249.38,null,null,{"$f":"IF(ISNUMBER(C7),IF(OR(AND(ISBLANK(D7),ISBLANK(E7)),AND(D7=\"No\",ISBLANK(E7))),\"\",IF(AND(ISBLANK(D7),ISNUMBER(E7)),Lookup!$C$11,IF(AND(D7=\"Yes\",ISBLANK(E7)),Lookup!$C$12,IF(AND(D7=\"Yes\",E7>=C7),Lookup!$C$7,IF(AND(D7=\"No\",E7>=C7),Lookup!$C$8,IF(AND(D7=\"Yes\",E7<C7),Lookup!$C$9,IF(AND(D7=\"No\",E7<C7),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},249.38,null,null,{"$f":"IF(ISNUMBER(G7),IF(OR(AND(ISBLANK(H7),ISBLANK(I7)),AND(H7=\"No\",ISBLANK(I7))),\"\",IF(AND(ISBLANK(H7),ISNUMBER(I7)),Lookup!$C$11,IF(AND(H7=\"Yes\",ISBLANK(I7)),Lookup!$C$12,IF(AND(H7=\"Yes\",I7>=G7),Lookup!$C$7,IF(AND(H7=\"No\",I7>=G7),Lookup!$C$8,IF(AND(H7=\"Yes\",I7<G7),Lookup!$C$9,IF(AND(H7=\"No\",I7<G7),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,236.88,null,{"$f":"IF(ISNUMBER(L7),IF(ISBLANK(M7),\"\",IF(M7>=L7,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},236.88,null,{"$f":"IF(ISNUMBER(O7),IF(ISBLANK(P7),\"\",IF(P7>=O7,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10081,"Drainage of pilonidal cyst, complicated",342.51,null,null,{"$f":"IF(ISNUMBER(C8),IF(OR(AND(ISBLANK(D8),ISBLANK(E8)),AND(D8=\"No\",ISBLANK(E8))),\"\",IF(AND(ISBLANK(D8),ISNUMBER(E8)),Lookup!$C$11,IF(AND(D8=\"Yes\",ISBLANK(E8)),Lookup!$C$12,IF(AND(D8=\"Yes\",E8>=C8),Lookup!$C$7,IF(AND(D8=\"No\",E8>=C8),Lookup!$C$8,IF(AND(D8=\"Yes\",E8<C8),Lookup!$C$9,IF(AND(D8=\"No\",E8<C8),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},342.51,null,null,{"$f":"IF(ISNUMBER(G8),IF(OR(AND(ISBLANK(H8),ISBLANK(I8)),AND(H8=\"No\",ISBLANK(I8))),\"\",IF(AND(ISBLANK(H8),ISNUMBER(I8)),Lookup!$C$11,IF(AND(H8=\"Yes\",ISBLANK(I8)),Lookup!$C$12,IF(AND(H8=\"Yes\",I8>=G8),Lookup!$C$7,IF(AND(H8=\"No\",I8>=G8),Lookup!$C$8,IF(AND(H8=\"Yes\",I8<G8),Lookup!$C$9,IF(AND(H8=\"No\",I8<G8),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,326.69,null,{"$f":"IF(ISNUMBER(L8),IF(ISBLANK(M8),\"\",IF(M8>=L8,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},326.69,null,{"$f":"IF(ISNUMBER(O8),IF(ISBLANK(P8),\"\",IF(P8>=O8,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10120,"Remove Foreign Body Simple ",152.04,null,null,{"$f":"IF(ISNUMBER(C9),IF(OR(AND(ISBLANK(D9),ISBLANK(E9)),AND(D9=\"No\",ISBLANK(E9))),\"\",IF(AND(ISBLANK(D9),ISNUMBER(E9)),Lookup!$C$11,IF(AND(D9=\"Yes\",ISBLANK(E9)),Lookup!$C$12,IF(AND(D9=\"Yes\",E9>=C9),Lookup!$C$7,IF(AND(D9=\"No\",E9>=C9),Lookup!$C$8,IF(AND(D9=\"Yes\",E9<C9),Lookup!$C$9,IF(AND(D9=\"No\",E9<C9),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},152.04,null,null,{"$f":"IF(ISNUMBER(G9),IF(OR(AND(ISBLANK(H9),ISBLANK(I9)),AND(H9=\"No\",ISBLANK(I9))),\"\",IF(AND(ISBLANK(H9),ISNUMBER(I9)),Lookup!$C$11,IF(AND(H9=\"Yes\",ISBLANK(I9)),Lookup!$C$12,IF(AND(H9=\"Yes\",I9>=G9),Lookup!$C$7,IF(AND(H9=\"No\",I9>=G9),Lookup!$C$8,IF(AND(H9=\"Yes\",I9<G9),Lookup!$C$9,IF(AND(H9=\"No\",I9<G9),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,146.46,null,{"$f":"IF(ISNUMBER(L9),IF(ISBLANK(M9),\"\",IF(M9>=L9,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},146.46,null,{"$f":"IF(ISNUMBER(O9),IF(ISBLANK(P9),\"\",IF(P9>=O9,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10121,"Remove Foreign Body Complicated ",264.16000000000003,null,null,{"$f":"IF(ISNUMBER(C10),IF(OR(AND(ISBLANK(D10),ISBLANK(E10)),AND(D10=\"No\",ISBLANK(E10))),\"\",IF(AND(ISBLANK(D10),ISNUMBER(E10)),Lookup!$C$11,IF(AND(D10=\"Yes\",ISBLANK(E10)),Lookup!$C$12,IF(AND(D10=\"Yes\",E10>=C10),Lookup!$C$7,IF(AND(D10=\"No\",E10>=C10),Lookup!$C$8,IF(AND(D10=\"Yes\",E10<C10),Lookup!$C$9,IF(AND(D10=\"No\",E10<C10),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},264.16000000000003,null,null,{"$f":"IF(ISNUMBER(G10),IF(OR(AND(ISBLANK(H10),ISBLANK(I10)),AND(H10=\"No\",ISBLANK(I10))),\"\",IF(AND(ISBLANK(H10),ISNUMBER(I10)),Lookup!$C$11,IF(AND(H10=\"Yes\",ISBLANK(I10)),Lookup!$C$12,IF(AND(H10=\"Yes\",I10>=G10),Lookup!$C$7,IF(AND(H10=\"No\",I10>=G10),Lookup!$C$8,IF(AND(H10=\"Yes\",I10<G10),Lookup!$C$9,IF(AND(H10=\"No\",I10<G10),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,256.06,null,{"$f":"IF(ISNUMBER(L10),IF(ISBLANK(M10),\"\",IF(M10>=L10,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},256.06,null,{"$f":"IF(ISNUMBER(O10),IF(ISBLANK(P10),\"\",IF(P10>=O10,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10140,"Drainage of hematoma/fluid",169.66,null,null,{"$f":"IF(ISNUMBER(C11),IF(OR(AND(ISBLANK(D11),ISBLANK(E11)),AND(D11=\"No\",ISBLANK(E11))),\"\",IF(AND(ISBLANK(D11),ISNUMBER(E11)),Lookup!$C$11,IF(AND(D11=\"Yes\",ISBLANK(E11)),Lookup!$C$12,IF(AND(D11=\"Yes\",E11>=C11),Lookup!$C$7,IF(AND(D11=\"No\",E11>=C11),Lookup!$C$8,IF(AND(D11=\"Yes\",E11<C11),Lookup!$C$9,IF(AND(D11=\"No\",E11<C11),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},169.66,null,null,{"$f":"IF(ISNUMBER(G11),IF(OR(AND(ISBLANK(H11),ISBLANK(I11)),AND(H11=\"No\",ISBLANK(I11))),\"\",IF(AND(ISBLANK(H11),ISNUMBER(I11)),Lookup!$C$11,IF(AND(H11=\"Yes\",ISBLANK(I11)),Lookup!$C$12,IF(AND(H11=\"Yes\",I11>=G11),Lookup!$C$7,IF(AND(H11=\"No\",I11>=G11),Lookup!$C$8,IF(AND(H11=\"Yes\",I11<G11),Lookup!$C$9,IF(AND(H11=\"No\",I11<G11),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,163.9,null,{"$f":"IF(ISNUMBER(L11),IF(ISBLANK(M11),\"\",IF(M11>=L11,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},163.9,null,{"$f":"IF(ISNUMBER(O11),IF(ISBLANK(P11),\"\",IF(P11>=O11,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10160,"Puncture Drainage Of Lesion",129.59,null,null,{"$f":"IF(ISNUMBER(C12),IF(OR(AND(ISBLANK(D12),ISBLANK(E12)),AND(D12=\"No\",ISBLANK(E12))),\"\",IF(AND(ISBLANK(D12),ISNUMBER(E12)),Lookup!$C$11,IF(AND(D12=\"Yes\",ISBLANK(E12)),Lookup!$C$12,IF(AND(D12=\"Yes\",E12>=C12),Lookup!$C$7,IF(AND(D12=\"No\",E12>=C12),Lookup!$C$8,IF(AND(D12=\"Yes\",E12<C12),Lookup!$C$9,IF(AND(D12=\"No\",E12<C12),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},129.59,null,null,{"$f":"IF(ISNUMBER(G12),IF(OR(AND(ISBLANK(H12),ISBLANK(I12)),AND(H12=\"No\",ISBLANK(I12))),\"\",IF(AND(ISBLANK(H12),ISNUMBER(I12)),Lookup!$C$11,IF(AND(H12=\"Yes\",ISBLANK(I12)),Lookup!$C$12,IF(AND(H12=\"Yes\",I12>=G12),Lookup!$C$7,IF(AND(H12=\"No\",I12>=G12),Lookup!$C$8,IF(AND(H12=\"Yes\",I12<G12),Lookup!$C$9,IF(AND(H12=\"No\",I12<G12),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,125.93,null,{"$f":"IF(ISNUMBER(L12),IF(ISBLANK(M12),\"\",IF(M12>=L12,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},125.93,null,{"$f":"IF(ISNUMBER(O12),IF(ISBLANK(P12),\"\",IF(P12>=O12,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[10180,"Complex drainage wound",262.10000000000002,null,null,{"$f":"IF(ISNUMBER(C13),IF(OR(AND(ISBLANK(D13),ISBLANK(E13)),AND(D13=\"No\",ISBLANK(E13))),\"\",IF(AND(ISBLANK(D13),ISNUMBER(E13)),Lookup!$C$11,IF(AND(D13=\"Yes\",ISBLANK(E13)),Lookup!$C$12,IF(AND(D13=\"Yes\",E13>=C13),Lookup!$C$7,IF(AND(D13=\"No\",E13>=C13),Lookup!$C$8,IF(AND(D13=\"Yes\",E13<C13),Lookup!$C$9,IF(AND(D13=\"No\",E13<C13),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},262.10000000000002,null,null,{"$f":"IF(ISNUMBER(G13),IF(OR(AND(ISBLANK(H13),ISBLANK(I13)),AND(H13=\"No\",ISBLANK(I13))),\"\",IF(AND(ISBLANK(H13),ISNUMBER(I13)),Lookup!$C$11,IF(AND(H13=\"Yes\",ISBLANK(I13)),Lookup!$C$12,IF(AND(H13=\"Yes\",I13>=G13),Lookup!$C$7,IF(AND(H13=\"No\",I13>=G13),Lookup!$C$8,IF(AND(H13=\"Yes\",I13<G13),Lookup!$C$9,IF(AND(H13=\"No\",I13<G13),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,254.36,null,{"$f":"IF(ISNUMBER(L13),IF(ISBLANK(M13),\"\",IF(M13>=L13,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},254.36,null,{"$f":"IF(ISNUMBER(O13),IF(ISBLANK(P13),\"\",IF(P13>=O13,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11000,"Debride Infected Skin",59.05,null,null,{"$f":"IF(ISNUMBER(C14),IF(OR(AND(ISBLANK(D14),ISBLANK(E14)),AND(D14=\"No\",ISBLANK(E14))),\"\",IF(AND(ISBLANK(D14),ISNUMBER(E14)),Lookup!$C$11,IF(AND(D14=\"Yes\",ISBLANK(E14)),Lookup!$C$12,IF(AND(D14=\"Yes\",E14>=C14),Lookup!$C$7,IF(AND(D14=\"No\",E14>=C14),Lookup!$C$8,IF(AND(D14=\"Yes\",E14<C14),Lookup!$C$9,IF(AND(D14=\"No\",E14<C14),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},59.05,null,null,{"$f":"IF(ISNUMBER(G14),IF(OR(AND(ISBLANK(H14),ISBLANK(I14)),AND(H14=\"No\",ISBLANK(I14))),\"\",IF(AND(ISBLANK(H14),ISNUMBER(I14)),Lookup!$C$11,IF(AND(H14=\"Yes\",ISBLANK(I14)),Lookup!$C$12,IF(AND(H14=\"Yes\",I14>=G14),Lookup!$C$7,IF(AND(H14=\"No\",I14>=G14),Lookup!$C$8,IF(AND(H14=\"Yes\",I14<G14),Lookup!$C$9,IF(AND(H14=\"No\",I14<G14),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,56.75,null,{"$f":"IF(ISNUMBER(L14),IF(ISBLANK(M14),\"\",IF(M14>=L14,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},56.75,null,{"$f":"IF(ISNUMBER(O14),IF(ISBLANK(P14),\"\",IF(P14>=O14,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11055,"Trim Skin Lesion Single",70.819999999999993,null,null,{"$f":"IF(ISNUMBER(C15),IF(OR(AND(ISBLANK(D15),ISBLANK(E15)),AND(D15=\"No\",ISBLANK(E15))),\"\",IF(AND(ISBLANK(D15),ISNUMBER(E15)),Lookup!$C$11,IF(AND(D15=\"Yes\",ISBLANK(E15)),Lookup!$C$12,IF(AND(D15=\"Yes\",E15>=C15),Lookup!$C$7,IF(AND(D15=\"No\",E15>=C15),Lookup!$C$8,IF(AND(D15=\"Yes\",E15<C15),Lookup!$C$9,IF(AND(D15=\"No\",E15<C15),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.819999999999993,null,null,{"$f":"IF(ISNUMBER(G15),IF(OR(AND(ISBLANK(H15),ISBLANK(I15)),AND(H15=\"No\",ISBLANK(I15))),\"\",IF(AND(ISBLANK(H15),ISNUMBER(I15)),Lookup!$C$11,IF(AND(H15=\"Yes\",ISBLANK(I15)),Lookup!$C$12,IF(AND(H15=\"Yes\",I15>=G15),Lookup!$C$7,IF(AND(H15=\"No\",I15>=G15),Lookup!$C$8,IF(AND(H15=\"Yes\",I15<G15),Lookup!$C$9,IF(AND(H15=\"No\",I15<G15),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,67.53,null,{"$f":"IF(ISNUMBER(L15),IF(ISBLANK(M15),\"\",IF(M15>=L15,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},67.53,null,{"$f":"IF(ISNUMBER(O15),IF(ISBLANK(P15),\"\",IF(P15>=O15,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11056,"Trim Skin Lesions 2 To 4",82.12,null,null,{"$f":"IF(ISNUMBER(C16),IF(OR(AND(ISBLANK(D16),ISBLANK(E16)),AND(D16=\"No\",ISBLANK(E16))),\"\",IF(AND(ISBLANK(D16),ISNUMBER(E16)),Lookup!$C$11,IF(AND(D16=\"Yes\",ISBLANK(E16)),Lookup!$C$12,IF(AND(D16=\"Yes\",E16>=C16),Lookup!$C$7,IF(AND(D16=\"No\",E16>=C16),Lookup!$C$8,IF(AND(D16=\"Yes\",E16<C16),Lookup!$C$9,IF(AND(D16=\"No\",E16<C16),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},82.12,null,null,{"$f":"IF(ISNUMBER(G16),IF(OR(AND(ISBLANK(H16),ISBLANK(I16)),AND(H16=\"No\",ISBLANK(I16))),\"\",IF(AND(ISBLANK(H16),ISNUMBER(I16)),Lookup!$C$11,IF(AND(H16=\"Yes\",ISBLANK(I16)),Lookup!$C$12,IF(AND(H16=\"Yes\",I16>=G16),Lookup!$C$7,IF(AND(H16=\"No\",I16>=G16),Lookup!$C$8,IF(AND(H16=\"Yes\",I16<G16),Lookup!$C$9,IF(AND(H16=\"No\",I16<G16),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,78.510000000000005,null,{"$f":"IF(ISNUMBER(L16),IF(ISBLANK(M16),\"\",IF(M16>=L16,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},78.510000000000005,null,{"$f":"IF(ISNUMBER(O16),IF(ISBLANK(P16),\"\",IF(P16>=O16,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11102,"Tangntl bx skin single les",100,null,null,{"$f":"IF(ISNUMBER(C17),IF(OR(AND(ISBLANK(D17),ISBLANK(E17)),AND(D17=\"No\",ISBLANK(E17))),\"\",IF(AND(ISBLANK(D17),ISNUMBER(E17)),Lookup!$C$11,IF(AND(D17=\"Yes\",ISBLANK(E17)),Lookup!$C$12,IF(AND(D17=\"Yes\",E17>=C17),Lookup!$C$7,IF(AND(D17=\"No\",E17>=C17),Lookup!$C$8,IF(AND(D17=\"Yes\",E17<C17),Lookup!$C$9,IF(AND(D17=\"No\",E17<C17),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},100,null,null,{"$f":"IF(ISNUMBER(G17),IF(OR(AND(ISBLANK(H17),ISBLANK(I17)),AND(H17=\"No\",ISBLANK(I17))),\"\",IF(AND(ISBLANK(H17),ISNUMBER(I17)),Lookup!$C$11,IF(AND(H17=\"Yes\",ISBLANK(I17)),Lookup!$C$12,IF(AND(H17=\"Yes\",I17>=G17),Lookup!$C$7,IF(AND(H17=\"No\",I17>=G17),Lookup!$C$8,IF(AND(H17=\"Yes\",I17<G17),Lookup!$C$9,IF(AND(H17=\"No\",I17<G17),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,95.26,null,{"$f":"IF(ISNUMBER(L17),IF(ISBLANK(M17),\"\",IF(M17>=L17,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},95.26,null,{"$f":"IF(ISNUMBER(O17),IF(ISBLANK(P17),\"\",IF(P17>=O17,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11103,"Tangntl bx skin ea sep/addl",50.02,null,null,{"$f":"IF(ISNUMBER(C18),IF(OR(AND(ISBLANK(D18),ISBLANK(E18)),AND(D18=\"No\",ISBLANK(E18))),\"\",IF(AND(ISBLANK(D18),ISNUMBER(E18)),Lookup!$C$11,IF(AND(D18=\"Yes\",ISBLANK(E18)),Lookup!$C$12,IF(AND(D18=\"Yes\",E18>=C18),Lookup!$C$7,IF(AND(D18=\"No\",E18>=C18),Lookup!$C$8,IF(AND(D18=\"Yes\",E18<C18),Lookup!$C$9,IF(AND(D18=\"No\",E18<C18),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},50.02,null,null,{"$f":"IF(ISNUMBER(G18),IF(OR(AND(ISBLANK(H18),ISBLANK(I18)),AND(H18=\"No\",ISBLANK(I18))),\"\",IF(AND(ISBLANK(H18),ISNUMBER(I18)),Lookup!$C$11,IF(AND(H18=\"Yes\",ISBLANK(I18)),Lookup!$C$12,IF(AND(H18=\"Yes\",I18>=G18),Lookup!$C$7,IF(AND(H18=\"No\",I18>=G18),Lookup!$C$8,IF(AND(H18=\"Yes\",I18<G18),Lookup!$C$9,IF(AND(H18=\"No\",I18<G18),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,47.64,null,{"$f":"IF(ISNUMBER(L18),IF(ISBLANK(M18),\"\",IF(M18>=L18,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},47.64,null,{"$f":"IF(ISNUMBER(O18),IF(ISBLANK(P18),\"\",IF(P18>=O18,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11104,"Punch bx skin single lesion",124.49,null,null,{"$f":"IF(ISNUMBER(C19),IF(OR(AND(ISBLANK(D19),ISBLANK(E19)),AND(D19=\"No\",ISBLANK(E19))),\"\",IF(AND(ISBLANK(D19),ISNUMBER(E19)),Lookup!$C$11,IF(AND(D19=\"Yes\",ISBLANK(E19)),Lookup!$C$12,IF(AND(D19=\"Yes\",E19>=C19),Lookup!$C$7,IF(AND(D19=\"No\",E19>=C19),Lookup!$C$8,IF(AND(D19=\"Yes\",E19<C19),Lookup!$C$9,IF(AND(D19=\"No\",E19<C19),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},124.49,null,null,{"$f":"IF(ISNUMBER(G19),IF(OR(AND(ISBLANK(H19),ISBLANK(I19)),AND(H19=\"No\",ISBLANK(I19))),\"\",IF(AND(ISBLANK(H19),ISNUMBER(I19)),Lookup!$C$11,IF(AND(H19=\"Yes\",ISBLANK(I19)),Lookup!$C$12,IF(AND(H19=\"Yes\",I19>=G19),Lookup!$C$7,IF(AND(H19=\"No\",I19>=G19),Lookup!$C$8,IF(AND(H19=\"Yes\",I19<G19),Lookup!$C$9,IF(AND(H19=\"No\",I19<G19),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,118.72,null,{"$f":"IF(ISNUMBER(L19),IF(ISBLANK(M19),\"\",IF(M19>=L19,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},118.72,null,{"$f":"IF(ISNUMBER(O19),IF(ISBLANK(P19),\"\",IF(P19>=O19,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11105,"Punch bx skin ea sep/addl",59.28,null,null,{"$f":"IF(ISNUMBER(C20),IF(OR(AND(ISBLANK(D20),ISBLANK(E20)),AND(D20=\"No\",ISBLANK(E20))),\"\",IF(AND(ISBLANK(D20),ISNUMBER(E20)),Lookup!$C$11,IF(AND(D20=\"Yes\",ISBLANK(E20)),Lookup!$C$12,IF(AND(D20=\"Yes\",E20>=C20),Lookup!$C$7,IF(AND(D20=\"No\",E20>=C20),Lookup!$C$8,IF(AND(D20=\"Yes\",E20<C20),Lookup!$C$9,IF(AND(D20=\"No\",E20<C20),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},59.28,null,null,{"$f":"IF(ISNUMBER(G20),IF(OR(AND(ISBLANK(H20),ISBLANK(I20)),AND(H20=\"No\",ISBLANK(I20))),\"\",IF(AND(ISBLANK(H20),ISNUMBER(I20)),Lookup!$C$11,IF(AND(H20=\"Yes\",ISBLANK(I20)),Lookup!$C$12,IF(AND(H20=\"Yes\",I20>=G20),Lookup!$C$7,IF(AND(H20=\"No\",I20>=G20),Lookup!$C$8,IF(AND(H20=\"Yes\",I20<G20),Lookup!$C$9,IF(AND(H20=\"No\",I20<G20),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,57.28,null,{"$f":"IF(ISNUMBER(L20),IF(ISBLANK(M20),\"\",IF(M20>=L20,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},57.28,null,{"$f":"IF(ISNUMBER(O20),IF(ISBLANK(P20),\"\",IF(P20>=O20,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11106,"Incal bx skn single les",154.59,null,null,{"$f":"IF(ISNUMBER(C21),IF(OR(AND(ISBLANK(D21),ISBLANK(E21)),AND(D21=\"No\",ISBLANK(E21))),\"\",IF(AND(ISBLANK(D21),ISNUMBER(E21)),Lookup!$C$11,IF(AND(D21=\"Yes\",ISBLANK(E21)),Lookup!$C$12,IF(AND(D21=\"Yes\",E21>=C21),Lookup!$C$7,IF(AND(D21=\"No\",E21>=C21),Lookup!$C$8,IF(AND(D21=\"Yes\",E21<C21),Lookup!$C$9,IF(AND(D21=\"No\",E21<C21),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},154.59,null,null,{"$f":"IF(ISNUMBER(G21),IF(OR(AND(ISBLANK(H21),ISBLANK(I21)),AND(H21=\"No\",ISBLANK(I21))),\"\",IF(AND(ISBLANK(H21),ISNUMBER(I21)),Lookup!$C$11,IF(AND(H21=\"Yes\",ISBLANK(I21)),Lookup!$C$12,IF(AND(H21=\"Yes\",I21>=G21),Lookup!$C$7,IF(AND(H21=\"No\",I21>=G21),Lookup!$C$8,IF(AND(H21=\"Yes\",I21<G21),Lookup!$C$9,IF(AND(H21=\"No\",I21<G21),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,147.66,null,{"$f":"IF(ISNUMBER(L21),IF(ISBLANK(M21),\"\",IF(M21>=L21,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},147.66,null,{"$f":"IF(ISNUMBER(O21),IF(ISBLANK(P21),\"\",IF(P21>=O21,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11107,"Incal bx skn ea sep/addl",70.87,null,null,{"$f":"IF(ISNUMBER(C22),IF(OR(AND(ISBLANK(D22),ISBLANK(E22)),AND(D22=\"No\",ISBLANK(E22))),\"\",IF(AND(ISBLANK(D22),ISNUMBER(E22)),Lookup!$C$11,IF(AND(D22=\"Yes\",ISBLANK(E22)),Lookup!$C$12,IF(AND(D22=\"Yes\",E22>=C22),Lookup!$C$7,IF(AND(D22=\"No\",E22>=C22),Lookup!$C$8,IF(AND(D22=\"Yes\",E22<C22),Lookup!$C$9,IF(AND(D22=\"No\",E22<C22),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.87,null,null,{"$f":"IF(ISNUMBER(G22),IF(OR(AND(ISBLANK(H22),ISBLANK(I22)),AND(H22=\"No\",ISBLANK(I22))),\"\",IF(AND(ISBLANK(H22),ISNUMBER(I22)),Lookup!$C$11,IF(AND(H22=\"Yes\",ISBLANK(I22)),Lookup!$C$12,IF(AND(H22=\"Yes\",I22>=G22),Lookup!$C$7,IF(AND(H22=\"No\",I22>=G22),Lookup!$C$8,IF(AND(H22=\"Yes\",I22<G22),Lookup!$C$9,IF(AND(H22=\"No\",I22<G22),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,67.599999999999994,null,{"$f":"IF(ISNUMBER(L22),IF(ISBLANK(M22),\"\",IF(M22>=L22,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},67.599999999999994,null,{"$f":"IF(ISNUMBER(O22),IF(ISBLANK(P22),\"\",IF(P22>=O22,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11200,"Removal Of Skin Tags <W/15",92.46,null,null,{"$f":"IF(ISNUMBER(C23),IF(OR(AND(ISBLANK(D23),ISBLANK(E23)),AND(D23=\"No\",ISBLANK(E23))),\"\",IF(AND(ISBLANK(D23),ISNUMBER(E23)),Lookup!$C$11,IF(AND(D23=\"Yes\",ISBLANK(E23)),Lookup!$C$12,IF(AND(D23=\"Yes\",E23>=C23),Lookup!$C$7,IF(AND(D23=\"No\",E23>=C23),Lookup!$C$8,IF(AND(D23=\"Yes\",E23<C23),Lookup!$C$9,IF(AND(D23=\"No\",E23<C23),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},92.46,null,null,{"$f":"IF(ISNUMBER(G23),IF(OR(AND(ISBLANK(H23),ISBLANK(I23)),AND(H23=\"No\",ISBLANK(I23))),\"\",IF(AND(ISBLANK(H23),ISNUMBER(I23)),Lookup!$C$11,IF(AND(H23=\"Yes\",ISBLANK(I23)),Lookup!$C$12,IF(AND(H23=\"Yes\",I23>=G23),Lookup!$C$7,IF(AND(H23=\"No\",I23>=G23),Lookup!$C$8,IF(AND(H23=\"Yes\",I23<G23),Lookup!$C$9,IF(AND(H23=\"No\",I23<G23),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,89.86,null,{"$f":"IF(ISNUMBER(L23),IF(ISBLANK(M23),\"\",IF(M23>=L23,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},89.86,null,{"$f":"IF(ISNUMBER(O23),IF(ISBLANK(P23),\"\",IF(P23>=O23,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11201,"Remove Skin Tags Add-On",18.28,null,null,{"$f":"IF(ISNUMBER(C24),IF(OR(AND(ISBLANK(D24),ISBLANK(E24)),AND(D24=\"No\",ISBLANK(E24))),\"\",IF(AND(ISBLANK(D24),ISNUMBER(E24)),Lookup!$C$11,IF(AND(D24=\"Yes\",ISBLANK(E24)),Lookup!$C$12,IF(AND(D24=\"Yes\",E24>=C24),Lookup!$C$7,IF(AND(D24=\"No\",E24>=C24),Lookup!$C$8,IF(AND(D24=\"Yes\",E24<C24),Lookup!$C$9,IF(AND(D24=\"No\",E24<C24),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},18.28,null,null,{"$f":"IF(ISNUMBER(G24),IF(OR(AND(ISBLANK(H24),ISBLANK(I24)),AND(H24=\"No\",ISBLANK(I24))),\"\",IF(AND(ISBLANK(H24),ISNUMBER(I24)),Lookup!$C$11,IF(AND(H24=\"Yes\",ISBLANK(I24)),Lookup!$C$12,IF(AND(H24=\"Yes\",I24>=G24),Lookup!$C$7,IF(AND(H24=\"No\",I24>=G24),Lookup!$C$8,IF(AND(H24=\"Yes\",I24<G24),Lookup!$C$9,IF(AND(H24=\"No\",I24<G24),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.77,null,{"$f":"IF(ISNUMBER(L24),IF(ISBLANK(M24),\"\",IF(M24>=L24,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.77,null,{"$f":"IF(ISNUMBER(O24),IF(ISBLANK(P24),\"\",IF(P24>=O24,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11300,"Shave Skin Lesion 0.5 Cm/<",99.96,null,null,{"$f":"IF(ISNUMBER(C25),IF(OR(AND(ISBLANK(D25),ISBLANK(E25)),AND(D25=\"No\",ISBLANK(E25))),\"\",IF(AND(ISBLANK(D25),ISNUMBER(E25)),Lookup!$C$11,IF(AND(D25=\"Yes\",ISBLANK(E25)),Lookup!$C$12,IF(AND(D25=\"Yes\",E25>=C25),Lookup!$C$7,IF(AND(D25=\"No\",E25>=C25),Lookup!$C$8,IF(AND(D25=\"Yes\",E25<C25),Lookup!$C$9,IF(AND(D25=\"No\",E25<C25),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},99.96,null,null,{"$f":"IF(ISNUMBER(G25),IF(OR(AND(ISBLANK(H25),ISBLANK(I25)),AND(H25=\"No\",ISBLANK(I25))),\"\",IF(AND(ISBLANK(H25),ISNUMBER(I25)),Lookup!$C$11,IF(AND(H25=\"Yes\",ISBLANK(I25)),Lookup!$C$12,IF(AND(H25=\"Yes\",I25>=G25),Lookup!$C$7,IF(AND(H25=\"No\",I25>=G25),Lookup!$C$8,IF(AND(H25=\"Yes\",I25<G25),Lookup!$C$9,IF(AND(H25=\"No\",I25<G25),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,94.91,null,{"$f":"IF(ISNUMBER(L25),IF(ISBLANK(M25),\"\",IF(M25>=L25,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},94.91,null,{"$f":"IF(ISNUMBER(O25),IF(ISBLANK(P25),\"\",IF(P25>=O25,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11301,"Shave Skin Lesion 0.6-1.0 Cm",120.89,null,null,{"$f":"IF(ISNUMBER(C26),IF(OR(AND(ISBLANK(D26),ISBLANK(E26)),AND(D26=\"No\",ISBLANK(E26))),\"\",IF(AND(ISBLANK(D26),ISNUMBER(E26)),Lookup!$C$11,IF(AND(D26=\"Yes\",ISBLANK(E26)),Lookup!$C$12,IF(AND(D26=\"Yes\",E26>=C26),Lookup!$C$7,IF(AND(D26=\"No\",E26>=C26),Lookup!$C$8,IF(AND(D26=\"Yes\",E26<C26),Lookup!$C$9,IF(AND(D26=\"No\",E26<C26),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},120.89,null,null,{"$f":"IF(ISNUMBER(G26),IF(OR(AND(ISBLANK(H26),ISBLANK(I26)),AND(H26=\"No\",ISBLANK(I26))),\"\",IF(AND(ISBLANK(H26),ISNUMBER(I26)),Lookup!$C$11,IF(AND(H26=\"Yes\",ISBLANK(I26)),Lookup!$C$12,IF(AND(H26=\"Yes\",I26>=G26),Lookup!$C$7,IF(AND(H26=\"No\",I26>=G26),Lookup!$C$8,IF(AND(H26=\"Yes\",I26<G26),Lookup!$C$9,IF(AND(H26=\"No\",I26<G26),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,115.55,null,{"$f":"IF(ISNUMBER(L26),IF(ISBLANK(M26),\"\",IF(M26>=L26,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},115.55,null,{"$f":"IF(ISNUMBER(O26),IF(ISBLANK(P26),\"\",IF(P26>=O26,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11302,"Shave Skin Lesion 1.1-2.0 Cm",136.47999999999999,null,null,{"$f":"IF(ISNUMBER(C27),IF(OR(AND(ISBLANK(D27),ISBLANK(E27)),AND(D27=\"No\",ISBLANK(E27))),\"\",IF(AND(ISBLANK(D27),ISNUMBER(E27)),Lookup!$C$11,IF(AND(D27=\"Yes\",ISBLANK(E27)),Lookup!$C$12,IF(AND(D27=\"Yes\",E27>=C27),Lookup!$C$7,IF(AND(D27=\"No\",E27>=C27),Lookup!$C$8,IF(AND(D27=\"Yes\",E27<C27),Lookup!$C$9,IF(AND(D27=\"No\",E27<C27),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},136.47999999999999,null,null,{"$f":"IF(ISNUMBER(G27),IF(OR(AND(ISBLANK(H27),ISBLANK(I27)),AND(H27=\"No\",ISBLANK(I27))),\"\",IF(AND(ISBLANK(H27),ISNUMBER(I27)),Lookup!$C$11,IF(AND(H27=\"Yes\",ISBLANK(I27)),Lookup!$C$12,IF(AND(H27=\"Yes\",I27>=G27),Lookup!$C$7,IF(AND(H27=\"No\",I27>=G27),Lookup!$C$8,IF(AND(H27=\"Yes\",I27<G27),Lookup!$C$9,IF(AND(H27=\"No\",I27<G27),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,131.01,null,{"$f":"IF(ISNUMBER(L27),IF(ISBLANK(M27),\"\",IF(M27>=L27,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},131.01,null,{"$f":"IF(ISNUMBER(O27),IF(ISBLANK(P27),\"\",IF(P27>=O27,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11303,"Shave Skin Lesion >2.0 Cm",151.08000000000001,null,null,{"$f":"IF(ISNUMBER(C28),IF(OR(AND(ISBLANK(D28),ISBLANK(E28)),AND(D28=\"No\",ISBLANK(E28))),\"\",IF(AND(ISBLANK(D28),ISNUMBER(E28)),Lookup!$C$11,IF(AND(D28=\"Yes\",ISBLANK(E28)),Lookup!$C$12,IF(AND(D28=\"Yes\",E28>=C28),Lookup!$C$7,IF(AND(D28=\"No\",E28>=C28),Lookup!$C$8,IF(AND(D28=\"Yes\",E28<C28),Lookup!$C$9,IF(AND(D28=\"No\",E28<C28),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},151.08000000000001,null,null,{"$f":"IF(ISNUMBER(G28),IF(OR(AND(ISBLANK(H28),ISBLANK(I28)),AND(H28=\"No\",ISBLANK(I28))),\"\",IF(AND(ISBLANK(H28),ISNUMBER(I28)),Lookup!$C$11,IF(AND(H28=\"Yes\",ISBLANK(I28)),Lookup!$C$12,IF(AND(H28=\"Yes\",I28>=G28),Lookup!$C$7,IF(AND(H28=\"No\",I28>=G28),Lookup!$C$8,IF(AND(H28=\"Yes\",I28<G28),Lookup!$C$9,IF(AND(H28=\"No\",I28<G28),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,145.52000000000001,null,{"$f":"IF(ISNUMBER(L28),IF(ISBLANK(M28),\"\",IF(M28>=L28,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},145.52000000000001,null,{"$f":"IF(ISNUMBER(O28),IF(ISBLANK(P28),\"\",IF(P28>=O28,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11305,"Shave Skin Lesion 0.5 Cm/<",104.7,null,null,{"$f":"IF(ISNUMBER(C29),IF(OR(AND(ISBLANK(D29),ISBLANK(E29)),AND(D29=\"No\",ISBLANK(E29))),\"\",IF(AND(ISBLANK(D29),ISNUMBER(E29)),Lookup!$C$11,IF(AND(D29=\"Yes\",ISBLANK(E29)),Lookup!$C$12,IF(AND(D29=\"Yes\",E29>=C29),Lookup!$C$7,IF(AND(D29=\"No\",E29>=C29),Lookup!$C$8,IF(AND(D29=\"Yes\",E29<C29),Lookup!$C$9,IF(AND(D29=\"No\",E29<C29),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},104.7,null,null,{"$f":"IF(ISNUMBER(G29),IF(OR(AND(ISBLANK(H29),ISBLANK(I29)),AND(H29=\"No\",ISBLANK(I29))),\"\",IF(AND(ISBLANK(H29),ISNUMBER(I29)),Lookup!$C$11,IF(AND(H29=\"Yes\",ISBLANK(I29)),Lookup!$C$12,IF(AND(H29=\"Yes\",I29>=G29),Lookup!$C$7,IF(AND(H29=\"No\",I29>=G29),Lookup!$C$8,IF(AND(H29=\"Yes\",I29<G29),Lookup!$C$9,IF(AND(H29=\"No\",I29<G29),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,99.83,null,{"$f":"IF(ISNUMBER(L29),IF(ISBLANK(M29),\"\",IF(M29>=L29,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},99.83,null,{"$f":"IF(ISNUMBER(O29),IF(ISBLANK(P29),\"\",IF(P29>=O29,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11306,"Shave Skin Lesion 0.6-1.0 Cm",121.93,null,null,{"$f":"IF(ISNUMBER(C30),IF(OR(AND(ISBLANK(D30),ISBLANK(E30)),AND(D30=\"No\",ISBLANK(E30))),\"\",IF(AND(ISBLANK(D30),ISNUMBER(E30)),Lookup!$C$11,IF(AND(D30=\"Yes\",ISBLANK(E30)),Lookup!$C$12,IF(AND(D30=\"Yes\",E30>=C30),Lookup!$C$7,IF(AND(D30=\"No\",E30>=C30),Lookup!$C$8,IF(AND(D30=\"Yes\",E30<C30),Lookup!$C$9,IF(AND(D30=\"No\",E30<C30),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},121.93,null,null,{"$f":"IF(ISNUMBER(G30),IF(OR(AND(ISBLANK(H30),ISBLANK(I30)),AND(H30=\"No\",ISBLANK(I30))),\"\",IF(AND(ISBLANK(H30),ISNUMBER(I30)),Lookup!$C$11,IF(AND(H30=\"Yes\",ISBLANK(I30)),Lookup!$C$12,IF(AND(H30=\"Yes\",I30>=G30),Lookup!$C$7,IF(AND(H30=\"No\",I30>=G30),Lookup!$C$8,IF(AND(H30=\"Yes\",I30<G30),Lookup!$C$9,IF(AND(H30=\"No\",I30<G30),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,116.25,null,{"$f":"IF(ISNUMBER(L30),IF(ISBLANK(M30),\"\",IF(M30>=L30,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},116.25,null,{"$f":"IF(ISNUMBER(O30),IF(ISBLANK(P30),\"\",IF(P30>=O30,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11307,"Shave Skin Lesion 1.1-2.0 Cm",137.88,null,null,{"$f":"IF(ISNUMBER(C31),IF(OR(AND(ISBLANK(D31),ISBLANK(E31)),AND(D31=\"No\",ISBLANK(E31))),\"\",IF(AND(ISBLANK(D31),ISNUMBER(E31)),Lookup!$C$11,IF(AND(D31=\"Yes\",ISBLANK(E31)),Lookup!$C$12,IF(AND(D31=\"Yes\",E31>=C31),Lookup!$C$7,IF(AND(D31=\"No\",E31>=C31),Lookup!$C$8,IF(AND(D31=\"Yes\",E31<C31),Lookup!$C$9,IF(AND(D31=\"No\",E31<C31),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},137.88,null,null,{"$f":"IF(ISNUMBER(G31),IF(OR(AND(ISBLANK(H31),ISBLANK(I31)),AND(H31=\"No\",ISBLANK(I31))),\"\",IF(AND(ISBLANK(H31),ISNUMBER(I31)),Lookup!$C$11,IF(AND(H31=\"Yes\",ISBLANK(I31)),Lookup!$C$12,IF(AND(H31=\"Yes\",I31>=G31),Lookup!$C$7,IF(AND(H31=\"No\",I31>=G31),Lookup!$C$8,IF(AND(H31=\"Yes\",I31<G31),Lookup!$C$9,IF(AND(H31=\"No\",I31<G31),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,131.41,null,{"$f":"IF(ISNUMBER(L31),IF(ISBLANK(M31),\"\",IF(M31>=L31,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},131.41,null,{"$f":"IF(ISNUMBER(O31),IF(ISBLANK(P31),\"\",IF(P31>=O31,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11308,"Shave skin lesion >2.0 cm",145.27000000000001,null,null,{"$f":"IF(ISNUMBER(C32),IF(OR(AND(ISBLANK(D32),ISBLANK(E32)),AND(D32=\"No\",ISBLANK(E32))),\"\",IF(AND(ISBLANK(D32),ISNUMBER(E32)),Lookup!$C$11,IF(AND(D32=\"Yes\",ISBLANK(E32)),Lookup!$C$12,IF(AND(D32=\"Yes\",E32>=C32),Lookup!$C$7,IF(AND(D32=\"No\",E32>=C32),Lookup!$C$8,IF(AND(D32=\"Yes\",E32<C32),Lookup!$C$9,IF(AND(D32=\"No\",E32<C32),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},145.27000000000001,null,null,{"$f":"IF(ISNUMBER(G32),IF(OR(AND(ISBLANK(H32),ISBLANK(I32)),AND(H32=\"No\",ISBLANK(I32))),\"\",IF(AND(ISBLANK(H32),ISNUMBER(I32)),Lookup!$C$11,IF(AND(H32=\"Yes\",ISBLANK(I32)),Lookup!$C$12,IF(AND(H32=\"Yes\",I32>=G32),Lookup!$C$7,IF(AND(H32=\"No\",I32>=G32),Lookup!$C$8,IF(AND(H32=\"Yes\",I32<G32),Lookup!$C$9,IF(AND(H32=\"No\",I32<G32),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,138.6,null,{"$f":"IF(ISNUMBER(L32),IF(ISBLANK(M32),\"\",IF(M32>=L32,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},138.6,null,{"$f":"IF(ISNUMBER(O32),IF(ISBLANK(P32),\"\",IF(P32>=O32,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11310,"Shave Skin Lesion 0.5 Cm/<",115.24,null,null,{"$f":"IF(ISNUMBER(C33),IF(OR(AND(ISBLANK(D33),ISBLANK(E33)),AND(D33=\"No\",ISBLANK(E33))),\"\",IF(AND(ISBLANK(D33),ISNUMBER(E33)),Lookup!$C$11,IF(AND(D33=\"Yes\",ISBLANK(E33)),Lookup!$C$12,IF(AND(D33=\"Yes\",E33>=C33),Lookup!$C$7,IF(AND(D33=\"No\",E33>=C33),Lookup!$C$8,IF(AND(D33=\"Yes\",E33<C33),Lookup!$C$9,IF(AND(D33=\"No\",E33<C33),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},115.24,null,null,{"$f":"IF(ISNUMBER(G33),IF(OR(AND(ISBLANK(H33),ISBLANK(I33)),AND(H33=\"No\",ISBLANK(I33))),\"\",IF(AND(ISBLANK(H33),ISNUMBER(I33)),Lookup!$C$11,IF(AND(H33=\"Yes\",ISBLANK(I33)),Lookup!$C$12,IF(AND(H33=\"Yes\",I33>=G33),Lookup!$C$7,IF(AND(H33=\"No\",I33>=G33),Lookup!$C$8,IF(AND(H33=\"Yes\",I33<G33),Lookup!$C$9,IF(AND(H33=\"No\",I33<G33),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,109.75,null,{"$f":"IF(ISNUMBER(L33),IF(ISBLANK(M33),\"\",IF(M33>=L33,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},109.75,null,{"$f":"IF(ISNUMBER(O33),IF(ISBLANK(P33),\"\",IF(P33>=O33,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11311,"Shave Skin Lesion 0.6-1.0 Cm",136.16999999999999,null,null,{"$f":"IF(ISNUMBER(C34),IF(OR(AND(ISBLANK(D34),ISBLANK(E34)),AND(D34=\"No\",ISBLANK(E34))),\"\",IF(AND(ISBLANK(D34),ISNUMBER(E34)),Lookup!$C$11,IF(AND(D34=\"Yes\",ISBLANK(E34)),Lookup!$C$12,IF(AND(D34=\"Yes\",E34>=C34),Lookup!$C$7,IF(AND(D34=\"No\",E34>=C34),Lookup!$C$8,IF(AND(D34=\"Yes\",E34<C34),Lookup!$C$9,IF(AND(D34=\"No\",E34<C34),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},136.16999999999999,null,null,{"$f":"IF(ISNUMBER(G34),IF(OR(AND(ISBLANK(H34),ISBLANK(I34)),AND(H34=\"No\",ISBLANK(I34))),\"\",IF(AND(ISBLANK(H34),ISNUMBER(I34)),Lookup!$C$11,IF(AND(H34=\"Yes\",ISBLANK(I34)),Lookup!$C$12,IF(AND(H34=\"Yes\",I34>=G34),Lookup!$C$7,IF(AND(H34=\"No\",I34>=G34),Lookup!$C$8,IF(AND(H34=\"Yes\",I34<G34),Lookup!$C$9,IF(AND(H34=\"No\",I34<G34),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,131.02000000000001,null,{"$f":"IF(ISNUMBER(L34),IF(ISBLANK(M34),\"\",IF(M34>=L34,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},131.02000000000001,null,{"$f":"IF(ISNUMBER(O34),IF(ISBLANK(P34),\"\",IF(P34>=O34,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11312,"Shave skin lesion 1.1-2.0 cm",154.74,null,null,{"$f":"IF(ISNUMBER(C35),IF(OR(AND(ISBLANK(D35),ISBLANK(E35)),AND(D35=\"No\",ISBLANK(E35))),\"\",IF(AND(ISBLANK(D35),ISNUMBER(E35)),Lookup!$C$11,IF(AND(D35=\"Yes\",ISBLANK(E35)),Lookup!$C$12,IF(AND(D35=\"Yes\",E35>=C35),Lookup!$C$7,IF(AND(D35=\"No\",E35>=C35),Lookup!$C$8,IF(AND(D35=\"Yes\",E35<C35),Lookup!$C$9,IF(AND(D35=\"No\",E35<C35),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},154.74,null,null,{"$f":"IF(ISNUMBER(G35),IF(OR(AND(ISBLANK(H35),ISBLANK(I35)),AND(H35=\"No\",ISBLANK(I35))),\"\",IF(AND(ISBLANK(H35),ISNUMBER(I35)),Lookup!$C$11,IF(AND(H35=\"Yes\",ISBLANK(I35)),Lookup!$C$12,IF(AND(H35=\"Yes\",I35>=G35),Lookup!$C$7,IF(AND(H35=\"No\",I35>=G35),Lookup!$C$8,IF(AND(H35=\"Yes\",I35<G35),Lookup!$C$9,IF(AND(H35=\"No\",I35<G35),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,149.07,null,{"$f":"IF(ISNUMBER(L35),IF(ISBLANK(M35),\"\",IF(M35>=L35,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},149.07,null,{"$f":"IF(ISNUMBER(O35),IF(ISBLANK(P35),\"\",IF(P35>=O35,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11313,"Shave skin lesion >2.0 cm",180.31,null,null,{"$f":"IF(ISNUMBER(C36),IF(OR(AND(ISBLANK(D36),ISBLANK(E36)),AND(D36=\"No\",ISBLANK(E36))),\"\",IF(AND(ISBLANK(D36),ISNUMBER(E36)),Lookup!$C$11,IF(AND(D36=\"Yes\",ISBLANK(E36)),Lookup!$C$12,IF(AND(D36=\"Yes\",E36>=C36),Lookup!$C$7,IF(AND(D36=\"No\",E36>=C36),Lookup!$C$8,IF(AND(D36=\"Yes\",E36<C36),Lookup!$C$9,IF(AND(D36=\"No\",E36<C36),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},180.31,null,null,{"$f":"IF(ISNUMBER(G36),IF(OR(AND(ISBLANK(H36),ISBLANK(I36)),AND(H36=\"No\",ISBLANK(I36))),\"\",IF(AND(ISBLANK(H36),ISNUMBER(I36)),Lookup!$C$11,IF(AND(H36=\"Yes\",ISBLANK(I36)),Lookup!$C$12,IF(AND(H36=\"Yes\",I36>=G36),Lookup!$C$7,IF(AND(H36=\"No\",I36>=G36),Lookup!$C$8,IF(AND(H36=\"Yes\",I36<G36),Lookup!$C$9,IF(AND(H36=\"No\",I36<G36),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,173.63,null,{"$f":"IF(ISNUMBER(L36),IF(ISBLANK(M36),\"\",IF(M36>=L36,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},173.63,null,{"$f":"IF(ISNUMBER(O36),IF(ISBLANK(P36),\"\",IF(P36>=O36,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11400,"Exc Tr-Ext B9+Marg 0.5 Cm<",128.13,null,null,{"$f":"IF(ISNUMBER(C37),IF(OR(AND(ISBLANK(D37),ISBLANK(E37)),AND(D37=\"No\",ISBLANK(E37))),\"\",IF(AND(ISBLANK(D37),ISNUMBER(E37)),Lookup!$C$11,IF(AND(D37=\"Yes\",ISBLANK(E37)),Lookup!$C$12,IF(AND(D37=\"Yes\",E37>=C37),Lookup!$C$7,IF(AND(D37=\"No\",E37>=C37),Lookup!$C$8,IF(AND(D37=\"Yes\",E37<C37),Lookup!$C$9,IF(AND(D37=\"No\",E37<C37),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},128.13,null,null,{"$f":"IF(ISNUMBER(G37),IF(OR(AND(ISBLANK(H37),ISBLANK(I37)),AND(H37=\"No\",ISBLANK(I37))),\"\",IF(AND(ISBLANK(H37),ISNUMBER(I37)),Lookup!$C$11,IF(AND(H37=\"Yes\",ISBLANK(I37)),Lookup!$C$12,IF(AND(H37=\"Yes\",I37>=G37),Lookup!$C$7,IF(AND(H37=\"No\",I37>=G37),Lookup!$C$8,IF(AND(H37=\"Yes\",I37<G37),Lookup!$C$9,IF(AND(H37=\"No\",I37<G37),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,123.53,null,{"$f":"IF(ISNUMBER(L37),IF(ISBLANK(M37),\"\",IF(M37>=L37,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},123.53,null,{"$f":"IF(ISNUMBER(O37),IF(ISBLANK(P37),\"\",IF(P37>=O37,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11401,"Exc Tr-Ext B9+Marg 0.6-1 Cm",156.03,null,null,{"$f":"IF(ISNUMBER(C38),IF(OR(AND(ISBLANK(D38),ISBLANK(E38)),AND(D38=\"No\",ISBLANK(E38))),\"\",IF(AND(ISBLANK(D38),ISNUMBER(E38)),Lookup!$C$11,IF(AND(D38=\"Yes\",ISBLANK(E38)),Lookup!$C$12,IF(AND(D38=\"Yes\",E38>=C38),Lookup!$C$7,IF(AND(D38=\"No\",E38>=C38),Lookup!$C$8,IF(AND(D38=\"Yes\",E38<C38),Lookup!$C$9,IF(AND(D38=\"No\",E38<C38),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},156.03,null,null,{"$f":"IF(ISNUMBER(G38),IF(OR(AND(ISBLANK(H38),ISBLANK(I38)),AND(H38=\"No\",ISBLANK(I38))),\"\",IF(AND(ISBLANK(H38),ISNUMBER(I38)),Lookup!$C$11,IF(AND(H38=\"Yes\",ISBLANK(I38)),Lookup!$C$12,IF(AND(H38=\"Yes\",I38>=G38),Lookup!$C$7,IF(AND(H38=\"No\",I38>=G38),Lookup!$C$8,IF(AND(H38=\"Yes\",I38<G38),Lookup!$C$9,IF(AND(H38=\"No\",I38<G38),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,150.33000000000001,null,{"$f":"IF(ISNUMBER(L38),IF(ISBLANK(M38),\"\",IF(M38>=L38,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},150.33000000000001,null,{"$f":"IF(ISNUMBER(O38),IF(ISBLANK(P38),\"\",IF(P38>=O38,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11402,"Exc Tr-Ext B9+Marg 1.1-2 Cm",171.93,null,null,{"$f":"IF(ISNUMBER(C39),IF(OR(AND(ISBLANK(D39),ISBLANK(E39)),AND(D39=\"No\",ISBLANK(E39))),\"\",IF(AND(ISBLANK(D39),ISNUMBER(E39)),Lookup!$C$11,IF(AND(D39=\"Yes\",ISBLANK(E39)),Lookup!$C$12,IF(AND(D39=\"Yes\",E39>=C39),Lookup!$C$7,IF(AND(D39=\"No\",E39>=C39),Lookup!$C$8,IF(AND(D39=\"Yes\",E39<C39),Lookup!$C$9,IF(AND(D39=\"No\",E39<C39),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},171.93,null,null,{"$f":"IF(ISNUMBER(G39),IF(OR(AND(ISBLANK(H39),ISBLANK(I39)),AND(H39=\"No\",ISBLANK(I39))),\"\",IF(AND(ISBLANK(H39),ISNUMBER(I39)),Lookup!$C$11,IF(AND(H39=\"Yes\",ISBLANK(I39)),Lookup!$C$12,IF(AND(H39=\"Yes\",I39>=G39),Lookup!$C$7,IF(AND(H39=\"No\",I39>=G39),Lookup!$C$8,IF(AND(H39=\"Yes\",I39<G39),Lookup!$C$9,IF(AND(H39=\"No\",I39<G39),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,166.12,null,{"$f":"IF(ISNUMBER(L39),IF(ISBLANK(M39),\"\",IF(M39>=L39,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},166.12,null,{"$f":"IF(ISNUMBER(O39),IF(ISBLANK(P39),\"\",IF(P39>=O39,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11403,"Exc Tr-Ext B9+Marg 2.1-3 Cm",198.12,null,null,{"$f":"IF(ISNUMBER(C40),IF(OR(AND(ISBLANK(D40),ISBLANK(E40)),AND(D40=\"No\",ISBLANK(E40))),\"\",IF(AND(ISBLANK(D40),ISNUMBER(E40)),Lookup!$C$11,IF(AND(D40=\"Yes\",ISBLANK(E40)),Lookup!$C$12,IF(AND(D40=\"Yes\",E40>=C40),Lookup!$C$7,IF(AND(D40=\"No\",E40>=C40),Lookup!$C$8,IF(AND(D40=\"Yes\",E40<C40),Lookup!$C$9,IF(AND(D40=\"No\",E40<C40),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},198.12,null,null,{"$f":"IF(ISNUMBER(G40),IF(OR(AND(ISBLANK(H40),ISBLANK(I40)),AND(H40=\"No\",ISBLANK(I40))),\"\",IF(AND(ISBLANK(H40),ISNUMBER(I40)),Lookup!$C$11,IF(AND(H40=\"Yes\",ISBLANK(I40)),Lookup!$C$12,IF(AND(H40=\"Yes\",I40>=G40),Lookup!$C$7,IF(AND(H40=\"No\",I40>=G40),Lookup!$C$8,IF(AND(H40=\"Yes\",I40<G40),Lookup!$C$9,IF(AND(H40=\"No\",I40<G40),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,192.19,null,{"$f":"IF(ISNUMBER(L40),IF(ISBLANK(M40),\"\",IF(M40>=L40,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},192.19,null,{"$f":"IF(ISNUMBER(O40),IF(ISBLANK(P40),\"\",IF(P40>=O40,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11404,"Exc tr-ext b9+marg 3.1-4 cm",224.25,null,null,{"$f":"IF(ISNUMBER(C41),IF(OR(AND(ISBLANK(D41),ISBLANK(E41)),AND(D41=\"No\",ISBLANK(E41))),\"\",IF(AND(ISBLANK(D41),ISNUMBER(E41)),Lookup!$C$11,IF(AND(D41=\"Yes\",ISBLANK(E41)),Lookup!$C$12,IF(AND(D41=\"Yes\",E41>=C41),Lookup!$C$7,IF(AND(D41=\"No\",E41>=C41),Lookup!$C$8,IF(AND(D41=\"Yes\",E41<C41),Lookup!$C$9,IF(AND(D41=\"No\",E41<C41),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},224.25,null,null,{"$f":"IF(ISNUMBER(G41),IF(OR(AND(ISBLANK(H41),ISBLANK(I41)),AND(H41=\"No\",ISBLANK(I41))),\"\",IF(AND(ISBLANK(H41),ISNUMBER(I41)),Lookup!$C$11,IF(AND(H41=\"Yes\",ISBLANK(I41)),Lookup!$C$12,IF(AND(H41=\"Yes\",I41>=G41),Lookup!$C$7,IF(AND(H41=\"No\",I41>=G41),Lookup!$C$8,IF(AND(H41=\"Yes\",I41<G41),Lookup!$C$9,IF(AND(H41=\"No\",I41<G41),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,217.89,null,{"$f":"IF(ISNUMBER(L41),IF(ISBLANK(M41),\"\",IF(M41>=L41,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},217.89,null,{"$f":"IF(ISNUMBER(O41),IF(ISBLANK(P41),\"\",IF(P41>=O41,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11406,"Exc tr-ext b9+marg >4.0 cm",319.04000000000002,null,null,{"$f":"IF(ISNUMBER(C42),IF(OR(AND(ISBLANK(D42),ISBLANK(E42)),AND(D42=\"No\",ISBLANK(E42))),\"\",IF(AND(ISBLANK(D42),ISNUMBER(E42)),Lookup!$C$11,IF(AND(D42=\"Yes\",ISBLANK(E42)),Lookup!$C$12,IF(AND(D42=\"Yes\",E42>=C42),Lookup!$C$7,IF(AND(D42=\"No\",E42>=C42),Lookup!$C$8,IF(AND(D42=\"Yes\",E42<C42),Lookup!$C$9,IF(AND(D42=\"No\",E42<C42),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},319.04000000000002,null,null,{"$f":"IF(ISNUMBER(G42),IF(OR(AND(ISBLANK(H42),ISBLANK(I42)),AND(H42=\"No\",ISBLANK(I42))),\"\",IF(AND(ISBLANK(H42),ISNUMBER(I42)),Lookup!$C$11,IF(AND(H42=\"Yes\",ISBLANK(I42)),Lookup!$C$12,IF(AND(H42=\"Yes\",I42>=G42),Lookup!$C$7,IF(AND(H42=\"No\",I42>=G42),Lookup!$C$8,IF(AND(H42=\"Yes\",I42<G42),Lookup!$C$9,IF(AND(H42=\"No\",I42<G42),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,310.37,null,{"$f":"IF(ISNUMBER(L42),IF(ISBLANK(M42),\"\",IF(M42>=L42,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},310.37,null,{"$f":"IF(ISNUMBER(O42),IF(ISBLANK(P42),\"\",IF(P42>=O42,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11420,"Exc H-F-Nk-Sp B9+Marg 0.5/< Cm",126.58,null,null,{"$f":"IF(ISNUMBER(C43),IF(OR(AND(ISBLANK(D43),ISBLANK(E43)),AND(D43=\"No\",ISBLANK(E43))),\"\",IF(AND(ISBLANK(D43),ISNUMBER(E43)),Lookup!$C$11,IF(AND(D43=\"Yes\",ISBLANK(E43)),Lookup!$C$12,IF(AND(D43=\"Yes\",E43>=C43),Lookup!$C$7,IF(AND(D43=\"No\",E43>=C43),Lookup!$C$8,IF(AND(D43=\"Yes\",E43<C43),Lookup!$C$9,IF(AND(D43=\"No\",E43<C43),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},126.58,null,null,{"$f":"IF(ISNUMBER(G43),IF(OR(AND(ISBLANK(H43),ISBLANK(I43)),AND(H43=\"No\",ISBLANK(I43))),\"\",IF(AND(ISBLANK(H43),ISNUMBER(I43)),Lookup!$C$11,IF(AND(H43=\"Yes\",ISBLANK(I43)),Lookup!$C$12,IF(AND(H43=\"Yes\",I43>=G43),Lookup!$C$7,IF(AND(H43=\"No\",I43>=G43),Lookup!$C$8,IF(AND(H43=\"Yes\",I43<G43),Lookup!$C$9,IF(AND(H43=\"No\",I43<G43),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,122.33,null,{"$f":"IF(ISNUMBER(L43),IF(ISBLANK(M43),\"\",IF(M43>=L43,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},122.33,null,{"$f":"IF(ISNUMBER(O43),IF(ISBLANK(P43),\"\",IF(P43>=O43,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11421,"Exc H-F-Nk-Sp B9+Marg 0.6-1 Cm",159.75,null,null,{"$f":"IF(ISNUMBER(C44),IF(OR(AND(ISBLANK(D44),ISBLANK(E44)),AND(D44=\"No\",ISBLANK(E44))),\"\",IF(AND(ISBLANK(D44),ISNUMBER(E44)),Lookup!$C$11,IF(AND(D44=\"Yes\",ISBLANK(E44)),Lookup!$C$12,IF(AND(D44=\"Yes\",E44>=C44),Lookup!$C$7,IF(AND(D44=\"No\",E44>=C44),Lookup!$C$8,IF(AND(D44=\"Yes\",E44<C44),Lookup!$C$9,IF(AND(D44=\"No\",E44<C44),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},159.75,null,null,{"$f":"IF(ISNUMBER(G44),IF(OR(AND(ISBLANK(H44),ISBLANK(I44)),AND(H44=\"No\",ISBLANK(I44))),\"\",IF(AND(ISBLANK(H44),ISNUMBER(I44)),Lookup!$C$11,IF(AND(H44=\"Yes\",ISBLANK(I44)),Lookup!$C$12,IF(AND(H44=\"Yes\",I44>=G44),Lookup!$C$7,IF(AND(H44=\"No\",I44>=G44),Lookup!$C$8,IF(AND(H44=\"Yes\",I44<G44),Lookup!$C$9,IF(AND(H44=\"No\",I44<G44),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,153.97,null,{"$f":"IF(ISNUMBER(L44),IF(ISBLANK(M44),\"\",IF(M44>=L44,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},153.97,null,{"$f":"IF(ISNUMBER(O44),IF(ISBLANK(P44),\"\",IF(P44>=O44,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11422,"Exc H-F-Nk-Sp B9+Marg 1.1-2 Cm",179.29,null,null,{"$f":"IF(ISNUMBER(C45),IF(OR(AND(ISBLANK(D45),ISBLANK(E45)),AND(D45=\"No\",ISBLANK(E45))),\"\",IF(AND(ISBLANK(D45),ISNUMBER(E45)),Lookup!$C$11,IF(AND(D45=\"Yes\",ISBLANK(E45)),Lookup!$C$12,IF(AND(D45=\"Yes\",E45>=C45),Lookup!$C$7,IF(AND(D45=\"No\",E45>=C45),Lookup!$C$8,IF(AND(D45=\"Yes\",E45<C45),Lookup!$C$9,IF(AND(D45=\"No\",E45<C45),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},179.29,null,null,{"$f":"IF(ISNUMBER(G45),IF(OR(AND(ISBLANK(H45),ISBLANK(I45)),AND(H45=\"No\",ISBLANK(I45))),\"\",IF(AND(ISBLANK(H45),ISNUMBER(I45)),Lookup!$C$11,IF(AND(H45=\"Yes\",ISBLANK(I45)),Lookup!$C$12,IF(AND(H45=\"Yes\",I45>=G45),Lookup!$C$7,IF(AND(H45=\"No\",I45>=G45),Lookup!$C$8,IF(AND(H45=\"Yes\",I45<G45),Lookup!$C$9,IF(AND(H45=\"No\",I45<G45),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,173.58,null,{"$f":"IF(ISNUMBER(L45),IF(ISBLANK(M45),\"\",IF(M45>=L45,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},173.58,null,{"$f":"IF(ISNUMBER(O45),IF(ISBLANK(P45),\"\",IF(P45>=O45,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11423,"Exc H-F-Nk-Sp B9+Marg 2.1-3 Cm",205.51,null,null,{"$f":"IF(ISNUMBER(C46),IF(OR(AND(ISBLANK(D46),ISBLANK(E46)),AND(D46=\"No\",ISBLANK(E46))),\"\",IF(AND(ISBLANK(D46),ISNUMBER(E46)),Lookup!$C$11,IF(AND(D46=\"Yes\",ISBLANK(E46)),Lookup!$C$12,IF(AND(D46=\"Yes\",E46>=C46),Lookup!$C$7,IF(AND(D46=\"No\",E46>=C46),Lookup!$C$8,IF(AND(D46=\"Yes\",E46<C46),Lookup!$C$9,IF(AND(D46=\"No\",E46<C46),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},205.51,null,null,{"$f":"IF(ISNUMBER(G46),IF(OR(AND(ISBLANK(H46),ISBLANK(I46)),AND(H46=\"No\",ISBLANK(I46))),\"\",IF(AND(ISBLANK(H46),ISNUMBER(I46)),Lookup!$C$11,IF(AND(H46=\"Yes\",ISBLANK(I46)),Lookup!$C$12,IF(AND(H46=\"Yes\",I46>=G46),Lookup!$C$7,IF(AND(H46=\"No\",I46>=G46),Lookup!$C$8,IF(AND(H46=\"Yes\",I46<G46),Lookup!$C$9,IF(AND(H46=\"No\",I46<G46),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,200.01,null,{"$f":"IF(ISNUMBER(L46),IF(ISBLANK(M46),\"\",IF(M46>=L46,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},200.01,null,{"$f":"IF(ISNUMBER(O46),IF(ISBLANK(P46),\"\",IF(P46>=O46,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11424,"Exc h-f-nk-sp b9+marg 3.1-4",237.97,null,null,{"$f":"IF(ISNUMBER(C47),IF(OR(AND(ISBLANK(D47),ISBLANK(E47)),AND(D47=\"No\",ISBLANK(E47))),\"\",IF(AND(ISBLANK(D47),ISNUMBER(E47)),Lookup!$C$11,IF(AND(D47=\"Yes\",ISBLANK(E47)),Lookup!$C$12,IF(AND(D47=\"Yes\",E47>=C47),Lookup!$C$7,IF(AND(D47=\"No\",E47>=C47),Lookup!$C$8,IF(AND(D47=\"Yes\",E47<C47),Lookup!$C$9,IF(AND(D47=\"No\",E47<C47),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},237.97,null,null,{"$f":"IF(ISNUMBER(G47),IF(OR(AND(ISBLANK(H47),ISBLANK(I47)),AND(H47=\"No\",ISBLANK(I47))),\"\",IF(AND(ISBLANK(H47),ISNUMBER(I47)),Lookup!$C$11,IF(AND(H47=\"Yes\",ISBLANK(I47)),Lookup!$C$12,IF(AND(H47=\"Yes\",I47>=G47),Lookup!$C$7,IF(AND(H47=\"No\",I47>=G47),Lookup!$C$8,IF(AND(H47=\"Yes\",I47<G47),Lookup!$C$9,IF(AND(H47=\"No\",I47<G47),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,231.85,null,{"$f":"IF(ISNUMBER(L47),IF(ISBLANK(M47),\"\",IF(M47>=L47,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},231.85,null,{"$f":"IF(ISNUMBER(O47),IF(ISBLANK(P47),\"\",IF(P47>=O47,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11426,"Exc h-f-nk-sp b9+marg >4 cm",327.99,null,null,{"$f":"IF(ISNUMBER(C48),IF(OR(AND(ISBLANK(D48),ISBLANK(E48)),AND(D48=\"No\",ISBLANK(E48))),\"\",IF(AND(ISBLANK(D48),ISNUMBER(E48)),Lookup!$C$11,IF(AND(D48=\"Yes\",ISBLANK(E48)),Lookup!$C$12,IF(AND(D48=\"Yes\",E48>=C48),Lookup!$C$7,IF(AND(D48=\"No\",E48>=C48),Lookup!$C$8,IF(AND(D48=\"Yes\",E48<C48),Lookup!$C$9,IF(AND(D48=\"No\",E48<C48),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},327.99,null,null,{"$f":"IF(ISNUMBER(G48),IF(OR(AND(ISBLANK(H48),ISBLANK(I48)),AND(H48=\"No\",ISBLANK(I48))),\"\",IF(AND(ISBLANK(H48),ISNUMBER(I48)),Lookup!$C$11,IF(AND(H48=\"Yes\",ISBLANK(I48)),Lookup!$C$12,IF(AND(H48=\"Yes\",I48>=G48),Lookup!$C$7,IF(AND(H48=\"No\",I48>=G48),Lookup!$C$8,IF(AND(H48=\"Yes\",I48<G48),Lookup!$C$9,IF(AND(H48=\"No\",I48<G48),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,320.63,null,{"$f":"IF(ISNUMBER(L48),IF(ISBLANK(M48),\"\",IF(M48>=L48,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},320.63,null,{"$f":"IF(ISNUMBER(O48),IF(ISBLANK(P48),\"\",IF(P48>=O48,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11440,"Exc face-mm b9+marg 0.5 cm/<",143.41999999999999,null,null,{"$f":"IF(ISNUMBER(C49),IF(OR(AND(ISBLANK(D49),ISBLANK(E49)),AND(D49=\"No\",ISBLANK(E49))),\"\",IF(AND(ISBLANK(D49),ISNUMBER(E49)),Lookup!$C$11,IF(AND(D49=\"Yes\",ISBLANK(E49)),Lookup!$C$12,IF(AND(D49=\"Yes\",E49>=C49),Lookup!$C$7,IF(AND(D49=\"No\",E49>=C49),Lookup!$C$8,IF(AND(D49=\"Yes\",E49<C49),Lookup!$C$9,IF(AND(D49=\"No\",E49<C49),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},143.41999999999999,null,null,{"$f":"IF(ISNUMBER(G49),IF(OR(AND(ISBLANK(H49),ISBLANK(I49)),AND(H49=\"No\",ISBLANK(I49))),\"\",IF(AND(ISBLANK(H49),ISNUMBER(I49)),Lookup!$C$11,IF(AND(H49=\"Yes\",ISBLANK(I49)),Lookup!$C$12,IF(AND(H49=\"Yes\",I49>=G49),Lookup!$C$7,IF(AND(H49=\"No\",I49>=G49),Lookup!$C$8,IF(AND(H49=\"Yes\",I49<G49),Lookup!$C$9,IF(AND(H49=\"No\",I49<G49),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,137.43,null,{"$f":"IF(ISNUMBER(L49),IF(ISBLANK(M49),\"\",IF(M49>=L49,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},137.43,null,{"$f":"IF(ISNUMBER(O49),IF(ISBLANK(P49),\"\",IF(P49>=O49,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11441,"Exc face-mm b9+marg 0.6-1 cm",174.27,null,null,{"$f":"IF(ISNUMBER(C50),IF(OR(AND(ISBLANK(D50),ISBLANK(E50)),AND(D50=\"No\",ISBLANK(E50))),\"\",IF(AND(ISBLANK(D50),ISNUMBER(E50)),Lookup!$C$11,IF(AND(D50=\"Yes\",ISBLANK(E50)),Lookup!$C$12,IF(AND(D50=\"Yes\",E50>=C50),Lookup!$C$7,IF(AND(D50=\"No\",E50>=C50),Lookup!$C$8,IF(AND(D50=\"Yes\",E50<C50),Lookup!$C$9,IF(AND(D50=\"No\",E50<C50),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},174.27,null,null,{"$f":"IF(ISNUMBER(G50),IF(OR(AND(ISBLANK(H50),ISBLANK(I50)),AND(H50=\"No\",ISBLANK(I50))),\"\",IF(AND(ISBLANK(H50),ISNUMBER(I50)),Lookup!$C$11,IF(AND(H50=\"Yes\",ISBLANK(I50)),Lookup!$C$12,IF(AND(H50=\"Yes\",I50>=G50),Lookup!$C$7,IF(AND(H50=\"No\",I50>=G50),Lookup!$C$8,IF(AND(H50=\"Yes\",I50<G50),Lookup!$C$9,IF(AND(H50=\"No\",I50<G50),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,167.45,null,{"$f":"IF(ISNUMBER(L50),IF(ISBLANK(M50),\"\",IF(M50>=L50,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},167.45,null,{"$f":"IF(ISNUMBER(O50),IF(ISBLANK(P50),\"\",IF(P50>=O50,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11442,"Exc face-mm b9+marg 1.1-2 cm",193.5,null,null,{"$f":"IF(ISNUMBER(C51),IF(OR(AND(ISBLANK(D51),ISBLANK(E51)),AND(D51=\"No\",ISBLANK(E51))),\"\",IF(AND(ISBLANK(D51),ISNUMBER(E51)),Lookup!$C$11,IF(AND(D51=\"Yes\",ISBLANK(E51)),Lookup!$C$12,IF(AND(D51=\"Yes\",E51>=C51),Lookup!$C$7,IF(AND(D51=\"No\",E51>=C51),Lookup!$C$8,IF(AND(D51=\"Yes\",E51<C51),Lookup!$C$9,IF(AND(D51=\"No\",E51<C51),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},193.5,null,null,{"$f":"IF(ISNUMBER(G51),IF(OR(AND(ISBLANK(H51),ISBLANK(I51)),AND(H51=\"No\",ISBLANK(I51))),\"\",IF(AND(ISBLANK(H51),ISNUMBER(I51)),Lookup!$C$11,IF(AND(H51=\"Yes\",ISBLANK(I51)),Lookup!$C$12,IF(AND(H51=\"Yes\",I51>=G51),Lookup!$C$7,IF(AND(H51=\"No\",I51>=G51),Lookup!$C$8,IF(AND(H51=\"Yes\",I51<G51),Lookup!$C$9,IF(AND(H51=\"No\",I51<G51),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,187.08,null,{"$f":"IF(ISNUMBER(L51),IF(ISBLANK(M51),\"\",IF(M51>=L51,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},187.08,null,{"$f":"IF(ISNUMBER(O51),IF(ISBLANK(P51),\"\",IF(P51>=O51,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11443,"Exc face-mm b9+marg 2.1-3 cm",228.05,null,null,{"$f":"IF(ISNUMBER(C52),IF(OR(AND(ISBLANK(D52),ISBLANK(E52)),AND(D52=\"No\",ISBLANK(E52))),\"\",IF(AND(ISBLANK(D52),ISNUMBER(E52)),Lookup!$C$11,IF(AND(D52=\"Yes\",ISBLANK(E52)),Lookup!$C$12,IF(AND(D52=\"Yes\",E52>=C52),Lookup!$C$7,IF(AND(D52=\"No\",E52>=C52),Lookup!$C$8,IF(AND(D52=\"Yes\",E52<C52),Lookup!$C$9,IF(AND(D52=\"No\",E52<C52),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},228.05,null,null,{"$f":"IF(ISNUMBER(G52),IF(OR(AND(ISBLANK(H52),ISBLANK(I52)),AND(H52=\"No\",ISBLANK(I52))),\"\",IF(AND(ISBLANK(H52),ISNUMBER(I52)),Lookup!$C$11,IF(AND(H52=\"Yes\",ISBLANK(I52)),Lookup!$C$12,IF(AND(H52=\"Yes\",I52>=G52),Lookup!$C$7,IF(AND(H52=\"No\",I52>=G52),Lookup!$C$8,IF(AND(H52=\"Yes\",I52<G52),Lookup!$C$9,IF(AND(H52=\"No\",I52<G52),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,221.59,null,{"$f":"IF(ISNUMBER(L52),IF(ISBLANK(M52),\"\",IF(M52>=L52,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},221.59,null,{"$f":"IF(ISNUMBER(O52),IF(ISBLANK(P52),\"\",IF(P52>=O52,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11444,"Exc face-mm b9+marg 3.1-4 cm",283.18,null,null,{"$f":"IF(ISNUMBER(C53),IF(OR(AND(ISBLANK(D53),ISBLANK(E53)),AND(D53=\"No\",ISBLANK(E53))),\"\",IF(AND(ISBLANK(D53),ISNUMBER(E53)),Lookup!$C$11,IF(AND(D53=\"Yes\",ISBLANK(E53)),Lookup!$C$12,IF(AND(D53=\"Yes\",E53>=C53),Lookup!$C$7,IF(AND(D53=\"No\",E53>=C53),Lookup!$C$8,IF(AND(D53=\"Yes\",E53<C53),Lookup!$C$9,IF(AND(D53=\"No\",E53<C53),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},283.18,null,null,{"$f":"IF(ISNUMBER(G53),IF(OR(AND(ISBLANK(H53),ISBLANK(I53)),AND(H53=\"No\",ISBLANK(I53))),\"\",IF(AND(ISBLANK(H53),ISNUMBER(I53)),Lookup!$C$11,IF(AND(H53=\"Yes\",ISBLANK(I53)),Lookup!$C$12,IF(AND(H53=\"Yes\",I53>=G53),Lookup!$C$7,IF(AND(H53=\"No\",I53>=G53),Lookup!$C$8,IF(AND(H53=\"Yes\",I53<G53),Lookup!$C$9,IF(AND(H53=\"No\",I53<G53),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,276.08,null,{"$f":"IF(ISNUMBER(L53),IF(ISBLANK(M53),\"\",IF(M53>=L53,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},276.08,null,{"$f":"IF(ISNUMBER(O53),IF(ISBLANK(P53),\"\",IF(P53>=O53,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11446,"Exc face-mm b9+marg >4 cm",383.8,null,null,{"$f":"IF(ISNUMBER(C54),IF(OR(AND(ISBLANK(D54),ISBLANK(E54)),AND(D54=\"No\",ISBLANK(E54))),\"\",IF(AND(ISBLANK(D54),ISNUMBER(E54)),Lookup!$C$11,IF(AND(D54=\"Yes\",ISBLANK(E54)),Lookup!$C$12,IF(AND(D54=\"Yes\",E54>=C54),Lookup!$C$7,IF(AND(D54=\"No\",E54>=C54),Lookup!$C$8,IF(AND(D54=\"Yes\",E54<C54),Lookup!$C$9,IF(AND(D54=\"No\",E54<C54),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},383.8,null,null,{"$f":"IF(ISNUMBER(G54),IF(OR(AND(ISBLANK(H54),ISBLANK(I54)),AND(H54=\"No\",ISBLANK(I54))),\"\",IF(AND(ISBLANK(H54),ISNUMBER(I54)),Lookup!$C$11,IF(AND(H54=\"Yes\",ISBLANK(I54)),Lookup!$C$12,IF(AND(H54=\"Yes\",I54>=G54),Lookup!$C$7,IF(AND(H54=\"No\",I54>=G54),Lookup!$C$8,IF(AND(H54=\"Yes\",I54<G54),Lookup!$C$9,IF(AND(H54=\"No\",I54<G54),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,375.18,null,{"$f":"IF(ISNUMBER(L54),IF(ISBLANK(M54),\"\",IF(M54>=L54,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},375.18,null,{"$f":"IF(ISNUMBER(O54),IF(ISBLANK(P54),\"\",IF(P54>=O54,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11719,"Trimming Nondystrophic Nails Any Number",14.28,null,null,{"$f":"IF(ISNUMBER(C55),IF(OR(AND(ISBLANK(D55),ISBLANK(E55)),AND(D55=\"No\",ISBLANK(E55))),\"\",IF(AND(ISBLANK(D55),ISNUMBER(E55)),Lookup!$C$11,IF(AND(D55=\"Yes\",ISBLANK(E55)),Lookup!$C$12,IF(AND(D55=\"Yes\",E55>=C55),Lookup!$C$7,IF(AND(D55=\"No\",E55>=C55),Lookup!$C$8,IF(AND(D55=\"Yes\",E55<C55),Lookup!$C$9,IF(AND(D55=\"No\",E55<C55),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.28,null,null,{"$f":"IF(ISNUMBER(G55),IF(OR(AND(ISBLANK(H55),ISBLANK(I55)),AND(H55=\"No\",ISBLANK(I55))),\"\",IF(AND(ISBLANK(H55),ISNUMBER(I55)),Lookup!$C$11,IF(AND(H55=\"Yes\",ISBLANK(I55)),Lookup!$C$12,IF(AND(H55=\"Yes\",I55>=G55),Lookup!$C$7,IF(AND(H55=\"No\",I55>=G55),Lookup!$C$8,IF(AND(H55=\"Yes\",I55<G55),Lookup!$C$9,IF(AND(H55=\"No\",I55<G55),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,13.88,null,{"$f":"IF(ISNUMBER(L55),IF(ISBLANK(M55),\"\",IF(M55>=L55,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.88,null,{"$f":"IF(ISNUMBER(O55),IF(ISBLANK(P55),\"\",IF(P55>=O55,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11720,"Debride Nail 1-5",32.83,null,null,{"$f":"IF(ISNUMBER(C56),IF(OR(AND(ISBLANK(D56),ISBLANK(E56)),AND(D56=\"No\",ISBLANK(E56))),\"\",IF(AND(ISBLANK(D56),ISNUMBER(E56)),Lookup!$C$11,IF(AND(D56=\"Yes\",ISBLANK(E56)),Lookup!$C$12,IF(AND(D56=\"Yes\",E56>=C56),Lookup!$C$7,IF(AND(D56=\"No\",E56>=C56),Lookup!$C$8,IF(AND(D56=\"Yes\",E56<C56),Lookup!$C$9,IF(AND(D56=\"No\",E56<C56),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},32.83,null,null,{"$f":"IF(ISNUMBER(G56),IF(OR(AND(ISBLANK(H56),ISBLANK(I56)),AND(H56=\"No\",ISBLANK(I56))),\"\",IF(AND(ISBLANK(H56),ISNUMBER(I56)),Lookup!$C$11,IF(AND(H56=\"Yes\",ISBLANK(I56)),Lookup!$C$12,IF(AND(H56=\"Yes\",I56>=G56),Lookup!$C$7,IF(AND(H56=\"No\",I56>=G56),Lookup!$C$8,IF(AND(H56=\"Yes\",I56<G56),Lookup!$C$9,IF(AND(H56=\"No\",I56<G56),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,31.9,null,{"$f":"IF(ISNUMBER(L56),IF(ISBLANK(M56),\"\",IF(M56>=L56,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},31.9,null,{"$f":"IF(ISNUMBER(O56),IF(ISBLANK(P56),\"\",IF(P56>=O56,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11721,"Debride Nail 6+",44.5,null,null,{"$f":"IF(ISNUMBER(C57),IF(OR(AND(ISBLANK(D57),ISBLANK(E57)),AND(D57=\"No\",ISBLANK(E57))),\"\",IF(AND(ISBLANK(D57),ISNUMBER(E57)),Lookup!$C$11,IF(AND(D57=\"Yes\",ISBLANK(E57)),Lookup!$C$12,IF(AND(D57=\"Yes\",E57>=C57),Lookup!$C$7,IF(AND(D57=\"No\",E57>=C57),Lookup!$C$8,IF(AND(D57=\"Yes\",E57<C57),Lookup!$C$9,IF(AND(D57=\"No\",E57<C57),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},44.5,null,null,{"$f":"IF(ISNUMBER(G57),IF(OR(AND(ISBLANK(H57),ISBLANK(I57)),AND(H57=\"No\",ISBLANK(I57))),\"\",IF(AND(ISBLANK(H57),ISNUMBER(I57)),Lookup!$C$11,IF(AND(H57=\"Yes\",ISBLANK(I57)),Lookup!$C$12,IF(AND(H57=\"Yes\",I57>=G57),Lookup!$C$7,IF(AND(H57=\"No\",I57>=G57),Lookup!$C$8,IF(AND(H57=\"Yes\",I57<G57),Lookup!$C$9,IF(AND(H57=\"No\",I57<G57),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,43.56,null,{"$f":"IF(ISNUMBER(L57),IF(ISBLANK(M57),\"\",IF(M57>=L57,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},43.56,null,{"$f":"IF(ISNUMBER(O57),IF(ISBLANK(P57),\"\",IF(P57>=O57,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11730,"Removal Of Nail Plate Simple ",114.72,null,null,{"$f":"IF(ISNUMBER(C58),IF(OR(AND(ISBLANK(D58),ISBLANK(E58)),AND(D58=\"No\",ISBLANK(E58))),\"\",IF(AND(ISBLANK(D58),ISNUMBER(E58)),Lookup!$C$11,IF(AND(D58=\"Yes\",ISBLANK(E58)),Lookup!$C$12,IF(AND(D58=\"Yes\",E58>=C58),Lookup!$C$7,IF(AND(D58=\"No\",E58>=C58),Lookup!$C$8,IF(AND(D58=\"Yes\",E58<C58),Lookup!$C$9,IF(AND(D58=\"No\",E58<C58),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},114.72,null,null,{"$f":"IF(ISNUMBER(G58),IF(OR(AND(ISBLANK(H58),ISBLANK(I58)),AND(H58=\"No\",ISBLANK(I58))),\"\",IF(AND(ISBLANK(H58),ISNUMBER(I58)),Lookup!$C$11,IF(AND(H58=\"Yes\",ISBLANK(I58)),Lookup!$C$12,IF(AND(H58=\"Yes\",I58>=G58),Lookup!$C$7,IF(AND(H58=\"No\",I58>=G58),Lookup!$C$8,IF(AND(H58=\"Yes\",I58<G58),Lookup!$C$9,IF(AND(H58=\"No\",I58<G58),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,110.21,null,{"$f":"IF(ISNUMBER(L58),IF(ISBLANK(M58),\"\",IF(M58>=L58,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},110.21,null,{"$f":"IF(ISNUMBER(O58),IF(ISBLANK(P58),\"\",IF(P58>=O58,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11732,"Remove nail plate add-on",32.86,null,null,{"$f":"IF(ISNUMBER(C59),IF(OR(AND(ISBLANK(D59),ISBLANK(E59)),AND(D59=\"No\",ISBLANK(E59))),\"\",IF(AND(ISBLANK(D59),ISNUMBER(E59)),Lookup!$C$11,IF(AND(D59=\"Yes\",ISBLANK(E59)),Lookup!$C$12,IF(AND(D59=\"Yes\",E59>=C59),Lookup!$C$7,IF(AND(D59=\"No\",E59>=C59),Lookup!$C$8,IF(AND(D59=\"Yes\",E59<C59),Lookup!$C$9,IF(AND(D59=\"No\",E59<C59),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},32.86,null,null,{"$f":"IF(ISNUMBER(G59),IF(OR(AND(ISBLANK(H59),ISBLANK(I59)),AND(H59=\"No\",ISBLANK(I59))),\"\",IF(AND(ISBLANK(H59),ISNUMBER(I59)),Lookup!$C$11,IF(AND(H59=\"Yes\",ISBLANK(I59)),Lookup!$C$12,IF(AND(H59=\"Yes\",I59>=G59),Lookup!$C$7,IF(AND(H59=\"No\",I59>=G59),Lookup!$C$8,IF(AND(H59=\"Yes\",I59<G59),Lookup!$C$9,IF(AND(H59=\"No\",I59<G59),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,31.61,null,{"$f":"IF(ISNUMBER(L59),IF(ISBLANK(M59),\"\",IF(M59>=L59,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},31.61,null,{"$f":"IF(ISNUMBER(O59),IF(ISBLANK(P59),\"\",IF(P59>=O59,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11740,"Evacuation Subungual Hematoma",57.62,null,null,{"$f":"IF(ISNUMBER(C60),IF(OR(AND(ISBLANK(D60),ISBLANK(E60)),AND(D60=\"No\",ISBLANK(E60))),\"\",IF(AND(ISBLANK(D60),ISNUMBER(E60)),Lookup!$C$11,IF(AND(D60=\"Yes\",ISBLANK(E60)),Lookup!$C$12,IF(AND(D60=\"Yes\",E60>=C60),Lookup!$C$7,IF(AND(D60=\"No\",E60>=C60),Lookup!$C$8,IF(AND(D60=\"Yes\",E60<C60),Lookup!$C$9,IF(AND(D60=\"No\",E60<C60),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},57.62,null,null,{"$f":"IF(ISNUMBER(G60),IF(OR(AND(ISBLANK(H60),ISBLANK(I60)),AND(H60=\"No\",ISBLANK(I60))),\"\",IF(AND(ISBLANK(H60),ISNUMBER(I60)),Lookup!$C$11,IF(AND(H60=\"Yes\",ISBLANK(I60)),Lookup!$C$12,IF(AND(H60=\"Yes\",I60>=G60),Lookup!$C$7,IF(AND(H60=\"No\",I60>=G60),Lookup!$C$8,IF(AND(H60=\"Yes\",I60<G60),Lookup!$C$9,IF(AND(H60=\"No\",I60<G60),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,55.67,null,{"$f":"IF(ISNUMBER(L60),IF(ISBLANK(M60),\"\",IF(M60>=L60,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},55.67,null,{"$f":"IF(ISNUMBER(O60),IF(ISBLANK(P60),\"\",IF(P60>=O60,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11750,"Removal Of Nail Bed Partial/Complete",160.53,null,null,{"$f":"IF(ISNUMBER(C61),IF(OR(AND(ISBLANK(D61),ISBLANK(E61)),AND(D61=\"No\",ISBLANK(E61))),\"\",IF(AND(ISBLANK(D61),ISNUMBER(E61)),Lookup!$C$11,IF(AND(D61=\"Yes\",ISBLANK(E61)),Lookup!$C$12,IF(AND(D61=\"Yes\",E61>=C61),Lookup!$C$7,IF(AND(D61=\"No\",E61>=C61),Lookup!$C$8,IF(AND(D61=\"Yes\",E61<C61),Lookup!$C$9,IF(AND(D61=\"No\",E61<C61),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},160.53,null,null,{"$f":"IF(ISNUMBER(G61),IF(OR(AND(ISBLANK(H61),ISBLANK(I61)),AND(H61=\"No\",ISBLANK(I61))),\"\",IF(AND(ISBLANK(H61),ISNUMBER(I61)),Lookup!$C$11,IF(AND(H61=\"Yes\",ISBLANK(I61)),Lookup!$C$12,IF(AND(H61=\"Yes\",I61>=G61),Lookup!$C$7,IF(AND(H61=\"No\",I61>=G61),Lookup!$C$8,IF(AND(H61=\"Yes\",I61<G61),Lookup!$C$9,IF(AND(H61=\"No\",I61<G61),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,154.71,null,{"$f":"IF(ISNUMBER(L61),IF(ISBLANK(M61),\"\",IF(M61>=L61,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},154.71,null,{"$f":"IF(ISNUMBER(O61),IF(ISBLANK(P61),\"\",IF(P61>=O61,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11765,"Excision Of Nail Fold Toe",165.65,null,null,{"$f":"IF(ISNUMBER(C62),IF(OR(AND(ISBLANK(D62),ISBLANK(E62)),AND(D62=\"No\",ISBLANK(E62))),\"\",IF(AND(ISBLANK(D62),ISNUMBER(E62)),Lookup!$C$11,IF(AND(D62=\"Yes\",ISBLANK(E62)),Lookup!$C$12,IF(AND(D62=\"Yes\",E62>=C62),Lookup!$C$7,IF(AND(D62=\"No\",E62>=C62),Lookup!$C$8,IF(AND(D62=\"Yes\",E62<C62),Lookup!$C$9,IF(AND(D62=\"No\",E62<C62),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},165.65,null,null,{"$f":"IF(ISNUMBER(G62),IF(OR(AND(ISBLANK(H62),ISBLANK(I62)),AND(H62=\"No\",ISBLANK(I62))),\"\",IF(AND(ISBLANK(H62),ISNUMBER(I62)),Lookup!$C$11,IF(AND(H62=\"Yes\",ISBLANK(I62)),Lookup!$C$12,IF(AND(H62=\"Yes\",I62>=G62),Lookup!$C$7,IF(AND(H62=\"No\",I62>=G62),Lookup!$C$8,IF(AND(H62=\"Yes\",I62<G62),Lookup!$C$9,IF(AND(H62=\"No\",I62<G62),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,159.05000000000001,null,{"$f":"IF(ISNUMBER(L62),IF(ISBLANK(M62),\"\",IF(M62>=L62,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},159.05000000000001,null,{"$f":"IF(ISNUMBER(O62),IF(ISBLANK(P62),\"\",IF(P62>=O62,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11900,"Inject Skin Lesions </W 7",57.34,null,null,{"$f":"IF(ISNUMBER(C63),IF(OR(AND(ISBLANK(D63),ISBLANK(E63)),AND(D63=\"No\",ISBLANK(E63))),\"\",IF(AND(ISBLANK(D63),ISNUMBER(E63)),Lookup!$C$11,IF(AND(D63=\"Yes\",ISBLANK(E63)),Lookup!$C$12,IF(AND(D63=\"Yes\",E63>=C63),Lookup!$C$7,IF(AND(D63=\"No\",E63>=C63),Lookup!$C$8,IF(AND(D63=\"Yes\",E63<C63),Lookup!$C$9,IF(AND(D63=\"No\",E63<C63),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},57.34,null,null,{"$f":"IF(ISNUMBER(G63),IF(OR(AND(ISBLANK(H63),ISBLANK(I63)),AND(H63=\"No\",ISBLANK(I63))),\"\",IF(AND(ISBLANK(H63),ISNUMBER(I63)),Lookup!$C$11,IF(AND(H63=\"Yes\",ISBLANK(I63)),Lookup!$C$12,IF(AND(H63=\"Yes\",I63>=G63),Lookup!$C$7,IF(AND(H63=\"No\",I63>=G63),Lookup!$C$8,IF(AND(H63=\"Yes\",I63<G63),Lookup!$C$9,IF(AND(H63=\"No\",I63<G63),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,55.41,null,{"$f":"IF(ISNUMBER(L63),IF(ISBLANK(M63),\"\",IF(M63>=L63,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},55.41,null,{"$f":"IF(ISNUMBER(O63),IF(ISBLANK(P63),\"\",IF(P63>=O63,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11901,"Inject Skin >7 Lesions",70.010000000000005,null,null,{"$f":"IF(ISNUMBER(C64),IF(OR(AND(ISBLANK(D64),ISBLANK(E64)),AND(D64=\"No\",ISBLANK(E64))),\"\",IF(AND(ISBLANK(D64),ISNUMBER(E64)),Lookup!$C$11,IF(AND(D64=\"Yes\",ISBLANK(E64)),Lookup!$C$12,IF(AND(D64=\"Yes\",E64>=C64),Lookup!$C$7,IF(AND(D64=\"No\",E64>=C64),Lookup!$C$8,IF(AND(D64=\"Yes\",E64<C64),Lookup!$C$9,IF(AND(D64=\"No\",E64<C64),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.010000000000005,null,null,{"$f":"IF(ISNUMBER(G64),IF(OR(AND(ISBLANK(H64),ISBLANK(I64)),AND(H64=\"No\",ISBLANK(I64))),\"\",IF(AND(ISBLANK(H64),ISNUMBER(I64)),Lookup!$C$11,IF(AND(H64=\"Yes\",ISBLANK(I64)),Lookup!$C$12,IF(AND(H64=\"Yes\",I64>=G64),Lookup!$C$7,IF(AND(H64=\"No\",I64>=G64),Lookup!$C$8,IF(AND(H64=\"Yes\",I64<G64),Lookup!$C$9,IF(AND(H64=\"No\",I64<G64),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,67.73,null,{"$f":"IF(ISNUMBER(L64),IF(ISBLANK(M64),\"\",IF(M64>=L64,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},67.73,null,{"$f":"IF(ISNUMBER(O64),IF(ISBLANK(P64),\"\",IF(P64>=O64,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11981,"Insert Drug Implant Device",100.4,null,null,{"$f":"IF(ISNUMBER(C65),IF(OR(AND(ISBLANK(D65),ISBLANK(E65)),AND(D65=\"No\",ISBLANK(E65))),\"\",IF(AND(ISBLANK(D65),ISNUMBER(E65)),Lookup!$C$11,IF(AND(D65=\"Yes\",ISBLANK(E65)),Lookup!$C$12,IF(AND(D65=\"Yes\",E65>=C65),Lookup!$C$7,IF(AND(D65=\"No\",E65>=C65),Lookup!$C$8,IF(AND(D65=\"Yes\",E65<C65),Lookup!$C$9,IF(AND(D65=\"No\",E65<C65),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},100.4,null,null,{"$f":"IF(ISNUMBER(G65),IF(OR(AND(ISBLANK(H65),ISBLANK(I65)),AND(H65=\"No\",ISBLANK(I65))),\"\",IF(AND(ISBLANK(H65),ISNUMBER(I65)),Lookup!$C$11,IF(AND(H65=\"Yes\",ISBLANK(I65)),Lookup!$C$12,IF(AND(H65=\"Yes\",I65>=G65),Lookup!$C$7,IF(AND(H65=\"No\",I65>=G65),Lookup!$C$8,IF(AND(H65=\"Yes\",I65<G65),Lookup!$C$9,IF(AND(H65=\"No\",I65<G65),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,97.56,null,{"$f":"IF(ISNUMBER(L65),IF(ISBLANK(M65),\"\",IF(M65>=L65,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},97.56,null,{"$f":"IF(ISNUMBER(O65),IF(ISBLANK(P65),\"\",IF(P65>=O65,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11982,"Remove Drug Implant Device",110.71,null,null,{"$f":"IF(ISNUMBER(C66),IF(OR(AND(ISBLANK(D66),ISBLANK(E66)),AND(D66=\"No\",ISBLANK(E66))),\"\",IF(AND(ISBLANK(D66),ISNUMBER(E66)),Lookup!$C$11,IF(AND(D66=\"Yes\",ISBLANK(E66)),Lookup!$C$12,IF(AND(D66=\"Yes\",E66>=C66),Lookup!$C$7,IF(AND(D66=\"No\",E66>=C66),Lookup!$C$8,IF(AND(D66=\"Yes\",E66<C66),Lookup!$C$9,IF(AND(D66=\"No\",E66<C66),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},110.71,null,null,{"$f":"IF(ISNUMBER(G66),IF(OR(AND(ISBLANK(H66),ISBLANK(I66)),AND(H66=\"No\",ISBLANK(I66))),\"\",IF(AND(ISBLANK(H66),ISNUMBER(I66)),Lookup!$C$11,IF(AND(H66=\"Yes\",ISBLANK(I66)),Lookup!$C$12,IF(AND(H66=\"Yes\",I66>=G66),Lookup!$C$7,IF(AND(H66=\"No\",I66>=G66),Lookup!$C$8,IF(AND(H66=\"Yes\",I66<G66),Lookup!$C$9,IF(AND(H66=\"No\",I66<G66),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,106.63,null,{"$f":"IF(ISNUMBER(L66),IF(ISBLANK(M66),\"\",IF(M66>=L66,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},106.63,null,{"$f":"IF(ISNUMBER(O66),IF(ISBLANK(P66),\"\",IF(P66>=O66,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[11983,"Remove W/ Insert Drug Implant",141.59,null,null,{"$f":"IF(ISNUMBER(C67),IF(OR(AND(ISBLANK(D67),ISBLANK(E67)),AND(D67=\"No\",ISBLANK(E67))),\"\",IF(AND(ISBLANK(D67),ISNUMBER(E67)),Lookup!$C$11,IF(AND(D67=\"Yes\",ISBLANK(E67)),Lookup!$C$12,IF(AND(D67=\"Yes\",E67>=C67),Lookup!$C$7,IF(AND(D67=\"No\",E67>=C67),Lookup!$C$8,IF(AND(D67=\"Yes\",E67<C67),Lookup!$C$9,IF(AND(D67=\"No\",E67<C67),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},141.59,null,null,{"$f":"IF(ISNUMBER(G67),IF(OR(AND(ISBLANK(H67),ISBLANK(I67)),AND(H67=\"No\",ISBLANK(I67))),\"\",IF(AND(ISBLANK(H67),ISNUMBER(I67)),Lookup!$C$11,IF(AND(H67=\"Yes\",ISBLANK(I67)),Lookup!$C$12,IF(AND(H67=\"Yes\",I67>=G67),Lookup!$C$7,IF(AND(H67=\"No\",I67>=G67),Lookup!$C$8,IF(AND(H67=\"Yes\",I67<G67),Lookup!$C$9,IF(AND(H67=\"No\",I67<G67),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,136.94999999999999,null,{"$f":"IF(ISNUMBER(L67),IF(ISBLANK(M67),\"\",IF(M67>=L67,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},136.94999999999999,null,{"$f":"IF(ISNUMBER(O67),IF(ISBLANK(P67),\"\",IF(P67>=O67,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12002,"Rpr s/n/ax/gen/trnk2.6-7.5cm",113.92,null,null,{"$f":"IF(ISNUMBER(C68),IF(OR(AND(ISBLANK(D68),ISBLANK(E68)),AND(D68=\"No\",ISBLANK(E68))),\"\",IF(AND(ISBLANK(D68),ISNUMBER(E68)),Lookup!$C$11,IF(AND(D68=\"Yes\",ISBLANK(E68)),Lookup!$C$12,IF(AND(D68=\"Yes\",E68>=C68),Lookup!$C$7,IF(AND(D68=\"No\",E68>=C68),Lookup!$C$8,IF(AND(D68=\"Yes\",E68<C68),Lookup!$C$9,IF(AND(D68=\"No\",E68<C68),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},113.92,null,null,{"$f":"IF(ISNUMBER(G68),IF(OR(AND(ISBLANK(H68),ISBLANK(I68)),AND(H68=\"No\",ISBLANK(I68))),\"\",IF(AND(ISBLANK(H68),ISNUMBER(I68)),Lookup!$C$11,IF(AND(H68=\"Yes\",ISBLANK(I68)),Lookup!$C$12,IF(AND(H68=\"Yes\",I68>=G68),Lookup!$C$7,IF(AND(H68=\"No\",I68>=G68),Lookup!$C$8,IF(AND(H68=\"Yes\",I68<G68),Lookup!$C$9,IF(AND(H68=\"No\",I68<G68),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,110.38,null,{"$f":"IF(ISNUMBER(L68),IF(ISBLANK(M68),\"\",IF(M68>=L68,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},110.38,null,{"$f":"IF(ISNUMBER(O68),IF(ISBLANK(P68),\"\",IF(P68>=O68,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12004,"Rpr s/n/ax/gen/trk7.6-12.5cm",132.81,null,null,{"$f":"IF(ISNUMBER(C69),IF(OR(AND(ISBLANK(D69),ISBLANK(E69)),AND(D69=\"No\",ISBLANK(E69))),\"\",IF(AND(ISBLANK(D69),ISNUMBER(E69)),Lookup!$C$11,IF(AND(D69=\"Yes\",ISBLANK(E69)),Lookup!$C$12,IF(AND(D69=\"Yes\",E69>=C69),Lookup!$C$7,IF(AND(D69=\"No\",E69>=C69),Lookup!$C$8,IF(AND(D69=\"Yes\",E69<C69),Lookup!$C$9,IF(AND(D69=\"No\",E69<C69),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},132.81,null,null,{"$f":"IF(ISNUMBER(G69),IF(OR(AND(ISBLANK(H69),ISBLANK(I69)),AND(H69=\"No\",ISBLANK(I69))),\"\",IF(AND(ISBLANK(H69),ISNUMBER(I69)),Lookup!$C$11,IF(AND(H69=\"Yes\",ISBLANK(I69)),Lookup!$C$12,IF(AND(H69=\"Yes\",I69>=G69),Lookup!$C$7,IF(AND(H69=\"No\",I69>=G69),Lookup!$C$8,IF(AND(H69=\"Yes\",I69<G69),Lookup!$C$9,IF(AND(H69=\"No\",I69<G69),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,128.43,null,{"$f":"IF(ISNUMBER(L69),IF(ISBLANK(M69),\"\",IF(M69>=L69,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},128.43,null,{"$f":"IF(ISNUMBER(O69),IF(ISBLANK(P69),\"\",IF(P69>=O69,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12005,"Rpr s/n/a/gen/trk12.6-20.0cm",176.88,null,null,{"$f":"IF(ISNUMBER(C70),IF(OR(AND(ISBLANK(D70),ISBLANK(E70)),AND(D70=\"No\",ISBLANK(E70))),\"\",IF(AND(ISBLANK(D70),ISNUMBER(E70)),Lookup!$C$11,IF(AND(D70=\"Yes\",ISBLANK(E70)),Lookup!$C$12,IF(AND(D70=\"Yes\",E70>=C70),Lookup!$C$7,IF(AND(D70=\"No\",E70>=C70),Lookup!$C$8,IF(AND(D70=\"Yes\",E70<C70),Lookup!$C$9,IF(AND(D70=\"No\",E70<C70),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},176.88,null,null,{"$f":"IF(ISNUMBER(G70),IF(OR(AND(ISBLANK(H70),ISBLANK(I70)),AND(H70=\"No\",ISBLANK(I70))),\"\",IF(AND(ISBLANK(H70),ISNUMBER(I70)),Lookup!$C$11,IF(AND(H70=\"Yes\",ISBLANK(I70)),Lookup!$C$12,IF(AND(H70=\"Yes\",I70>=G70),Lookup!$C$7,IF(AND(H70=\"No\",I70>=G70),Lookup!$C$8,IF(AND(H70=\"Yes\",I70<G70),Lookup!$C$9,IF(AND(H70=\"No\",I70<G70),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,170.93,null,{"$f":"IF(ISNUMBER(L70),IF(ISBLANK(M70),\"\",IF(M70>=L70,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},170.93,null,{"$f":"IF(ISNUMBER(O70),IF(ISBLANK(P70),\"\",IF(P70>=O70,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12006,"Rpr s/n/a/gen/trk20.1-30.0cm",204.09,null,null,{"$f":"IF(ISNUMBER(C71),IF(OR(AND(ISBLANK(D71),ISBLANK(E71)),AND(D71=\"No\",ISBLANK(E71))),\"\",IF(AND(ISBLANK(D71),ISNUMBER(E71)),Lookup!$C$11,IF(AND(D71=\"Yes\",ISBLANK(E71)),Lookup!$C$12,IF(AND(D71=\"Yes\",E71>=C71),Lookup!$C$7,IF(AND(D71=\"No\",E71>=C71),Lookup!$C$8,IF(AND(D71=\"Yes\",E71<C71),Lookup!$C$9,IF(AND(D71=\"No\",E71<C71),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},204.09,null,null,{"$f":"IF(ISNUMBER(G71),IF(OR(AND(ISBLANK(H71),ISBLANK(I71)),AND(H71=\"No\",ISBLANK(I71))),\"\",IF(AND(ISBLANK(H71),ISNUMBER(I71)),Lookup!$C$11,IF(AND(H71=\"Yes\",ISBLANK(I71)),Lookup!$C$12,IF(AND(H71=\"Yes\",I71>=G71),Lookup!$C$7,IF(AND(H71=\"No\",I71>=G71),Lookup!$C$8,IF(AND(H71=\"Yes\",I71<G71),Lookup!$C$9,IF(AND(H71=\"No\",I71<G71),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,198.6,null,{"$f":"IF(ISNUMBER(L71),IF(ISBLANK(M71),\"\",IF(M71>=L71,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},198.6,null,{"$f":"IF(ISNUMBER(O71),IF(ISBLANK(P71),\"\",IF(P71>=O71,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12007,"Rpr s/n/ax/gen/trnk >30.0 cm",231.63,null,null,{"$f":"IF(ISNUMBER(C72),IF(OR(AND(ISBLANK(D72),ISBLANK(E72)),AND(D72=\"No\",ISBLANK(E72))),\"\",IF(AND(ISBLANK(D72),ISNUMBER(E72)),Lookup!$C$11,IF(AND(D72=\"Yes\",ISBLANK(E72)),Lookup!$C$12,IF(AND(D72=\"Yes\",E72>=C72),Lookup!$C$7,IF(AND(D72=\"No\",E72>=C72),Lookup!$C$8,IF(AND(D72=\"Yes\",E72<C72),Lookup!$C$9,IF(AND(D72=\"No\",E72<C72),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},231.63,null,null,{"$f":"IF(ISNUMBER(G72),IF(OR(AND(ISBLANK(H72),ISBLANK(I72)),AND(H72=\"No\",ISBLANK(I72))),\"\",IF(AND(ISBLANK(H72),ISNUMBER(I72)),Lookup!$C$11,IF(AND(H72=\"Yes\",ISBLANK(I72)),Lookup!$C$12,IF(AND(H72=\"Yes\",I72>=G72),Lookup!$C$7,IF(AND(H72=\"No\",I72>=G72),Lookup!$C$8,IF(AND(H72=\"Yes\",I72<G72),Lookup!$C$9,IF(AND(H72=\"No\",I72<G72),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,221.54,null,{"$f":"IF(ISNUMBER(L72),IF(ISBLANK(M72),\"\",IF(M72>=L72,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},221.54,null,{"$f":"IF(ISNUMBER(O72),IF(ISBLANK(P72),\"\",IF(P72>=O72,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12011,"Rpr f/e/e/n/l/m 2.5 cm/<",111.92,null,null,{"$f":"IF(ISNUMBER(C73),IF(OR(AND(ISBLANK(D73),ISBLANK(E73)),AND(D73=\"No\",ISBLANK(E73))),\"\",IF(AND(ISBLANK(D73),ISNUMBER(E73)),Lookup!$C$11,IF(AND(D73=\"Yes\",ISBLANK(E73)),Lookup!$C$12,IF(AND(D73=\"Yes\",E73>=C73),Lookup!$C$7,IF(AND(D73=\"No\",E73>=C73),Lookup!$C$8,IF(AND(D73=\"Yes\",E73<C73),Lookup!$C$9,IF(AND(D73=\"No\",E73<C73),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},111.92,null,null,{"$f":"IF(ISNUMBER(G73),IF(OR(AND(ISBLANK(H73),ISBLANK(I73)),AND(H73=\"No\",ISBLANK(I73))),\"\",IF(AND(ISBLANK(H73),ISNUMBER(I73)),Lookup!$C$11,IF(AND(H73=\"Yes\",ISBLANK(I73)),Lookup!$C$12,IF(AND(H73=\"Yes\",I73>=G73),Lookup!$C$7,IF(AND(H73=\"No\",I73>=G73),Lookup!$C$8,IF(AND(H73=\"Yes\",I73<G73),Lookup!$C$9,IF(AND(H73=\"No\",I73<G73),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,108.43,null,{"$f":"IF(ISNUMBER(L73),IF(ISBLANK(M73),\"\",IF(M73>=L73,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},108.43,null,{"$f":"IF(ISNUMBER(O73),IF(ISBLANK(P73),\"\",IF(P73>=O73,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12013,"Rpr f/e/e/n/l/m 2.6-5.0 cm",116.58,null,null,{"$f":"IF(ISNUMBER(C74),IF(OR(AND(ISBLANK(D74),ISBLANK(E74)),AND(D74=\"No\",ISBLANK(E74))),\"\",IF(AND(ISBLANK(D74),ISNUMBER(E74)),Lookup!$C$11,IF(AND(D74=\"Yes\",ISBLANK(E74)),Lookup!$C$12,IF(AND(D74=\"Yes\",E74>=C74),Lookup!$C$7,IF(AND(D74=\"No\",E74>=C74),Lookup!$C$8,IF(AND(D74=\"Yes\",E74<C74),Lookup!$C$9,IF(AND(D74=\"No\",E74<C74),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},116.58,null,null,{"$f":"IF(ISNUMBER(G74),IF(OR(AND(ISBLANK(H74),ISBLANK(I74)),AND(H74=\"No\",ISBLANK(I74))),\"\",IF(AND(ISBLANK(H74),ISNUMBER(I74)),Lookup!$C$11,IF(AND(H74=\"Yes\",ISBLANK(I74)),Lookup!$C$12,IF(AND(H74=\"Yes\",I74>=G74),Lookup!$C$7,IF(AND(H74=\"No\",I74>=G74),Lookup!$C$8,IF(AND(H74=\"Yes\",I74<G74),Lookup!$C$9,IF(AND(H74=\"No\",I74<G74),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,112.96,null,{"$f":"IF(ISNUMBER(L74),IF(ISBLANK(M74),\"\",IF(M74>=L74,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},112.96,null,{"$f":"IF(ISNUMBER(O74),IF(ISBLANK(P74),\"\",IF(P74>=O74,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12014,"Rpr f/e/e/n/l/m 5.1-7.5 cm",142.41999999999999,null,null,{"$f":"IF(ISNUMBER(C75),IF(OR(AND(ISBLANK(D75),ISBLANK(E75)),AND(D75=\"No\",ISBLANK(E75))),\"\",IF(AND(ISBLANK(D75),ISNUMBER(E75)),Lookup!$C$11,IF(AND(D75=\"Yes\",ISBLANK(E75)),Lookup!$C$12,IF(AND(D75=\"Yes\",E75>=C75),Lookup!$C$7,IF(AND(D75=\"No\",E75>=C75),Lookup!$C$8,IF(AND(D75=\"Yes\",E75<C75),Lookup!$C$9,IF(AND(D75=\"No\",E75<C75),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},142.41999999999999,null,null,{"$f":"IF(ISNUMBER(G75),IF(OR(AND(ISBLANK(H75),ISBLANK(I75)),AND(H75=\"No\",ISBLANK(I75))),\"\",IF(AND(ISBLANK(H75),ISNUMBER(I75)),Lookup!$C$11,IF(AND(H75=\"Yes\",ISBLANK(I75)),Lookup!$C$12,IF(AND(H75=\"Yes\",I75>=G75),Lookup!$C$7,IF(AND(H75=\"No\",I75>=G75),Lookup!$C$8,IF(AND(H75=\"Yes\",I75<G75),Lookup!$C$9,IF(AND(H75=\"No\",I75<G75),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,137.13999999999999,null,{"$f":"IF(ISNUMBER(L75),IF(ISBLANK(M75),\"\",IF(M75>=L75,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},137.13999999999999,null,{"$f":"IF(ISNUMBER(O75),IF(ISBLANK(P75),\"\",IF(P75>=O75,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12015,"Rpr f/e/e/n/l/m 7.6-12.5 cm",171.93,null,null,{"$f":"IF(ISNUMBER(C76),IF(OR(AND(ISBLANK(D76),ISBLANK(E76)),AND(D76=\"No\",ISBLANK(E76))),\"\",IF(AND(ISBLANK(D76),ISNUMBER(E76)),Lookup!$C$11,IF(AND(D76=\"Yes\",ISBLANK(E76)),Lookup!$C$12,IF(AND(D76=\"Yes\",E76>=C76),Lookup!$C$7,IF(AND(D76=\"No\",E76>=C76),Lookup!$C$8,IF(AND(D76=\"Yes\",E76<C76),Lookup!$C$9,IF(AND(D76=\"No\",E76<C76),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},171.93,null,null,{"$f":"IF(ISNUMBER(G76),IF(OR(AND(ISBLANK(H76),ISBLANK(I76)),AND(H76=\"No\",ISBLANK(I76))),\"\",IF(AND(ISBLANK(H76),ISNUMBER(I76)),Lookup!$C$11,IF(AND(H76=\"Yes\",ISBLANK(I76)),Lookup!$C$12,IF(AND(H76=\"Yes\",I76>=G76),Lookup!$C$7,IF(AND(H76=\"No\",I76>=G76),Lookup!$C$8,IF(AND(H76=\"Yes\",I76<G76),Lookup!$C$9,IF(AND(H76=\"No\",I76<G76),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,167.07,null,{"$f":"IF(ISNUMBER(L76),IF(ISBLANK(M76),\"\",IF(M76>=L76,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},167.07,null,{"$f":"IF(ISNUMBER(O76),IF(ISBLANK(P76),\"\",IF(P76>=O76,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12016,"Rpr fe/e/en/l/m 12.6-20.0 cm",218.02,null,null,{"$f":"IF(ISNUMBER(C77),IF(OR(AND(ISBLANK(D77),ISBLANK(E77)),AND(D77=\"No\",ISBLANK(E77))),\"\",IF(AND(ISBLANK(D77),ISNUMBER(E77)),Lookup!$C$11,IF(AND(D77=\"Yes\",ISBLANK(E77)),Lookup!$C$12,IF(AND(D77=\"Yes\",E77>=C77),Lookup!$C$7,IF(AND(D77=\"No\",E77>=C77),Lookup!$C$8,IF(AND(D77=\"Yes\",E77<C77),Lookup!$C$9,IF(AND(D77=\"No\",E77<C77),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},218.02,null,null,{"$f":"IF(ISNUMBER(G77),IF(OR(AND(ISBLANK(H77),ISBLANK(I77)),AND(H77=\"No\",ISBLANK(I77))),\"\",IF(AND(ISBLANK(H77),ISNUMBER(I77)),Lookup!$C$11,IF(AND(H77=\"Yes\",ISBLANK(I77)),Lookup!$C$12,IF(AND(H77=\"Yes\",I77>=G77),Lookup!$C$7,IF(AND(H77=\"No\",I77>=G77),Lookup!$C$8,IF(AND(H77=\"Yes\",I77<G77),Lookup!$C$9,IF(AND(H77=\"No\",I77<G77),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,213.45,null,{"$f":"IF(ISNUMBER(L77),IF(ISBLANK(M77),\"\",IF(M77>=L77,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},213.45,null,{"$f":"IF(ISNUMBER(O77),IF(ISBLANK(P77),\"\",IF(P77>=O77,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12017,"Rpr fe/e/en/l/m 20.1-30.0 cm","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C78),IF(OR(AND(ISBLANK(D78),ISBLANK(E78)),AND(D78=\"No\",ISBLANK(E78))),\"\",IF(AND(ISBLANK(D78),ISNUMBER(E78)),Lookup!$C$11,IF(AND(D78=\"Yes\",ISBLANK(E78)),Lookup!$C$12,IF(AND(D78=\"Yes\",E78>=C78),Lookup!$C$7,IF(AND(D78=\"No\",E78>=C78),Lookup!$C$8,IF(AND(D78=\"Yes\",E78<C78),Lookup!$C$9,IF(AND(D78=\"No\",E78<C78),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G78),IF(OR(AND(ISBLANK(H78),ISBLANK(I78)),AND(H78=\"No\",ISBLANK(I78))),\"\",IF(AND(ISBLANK(H78),ISNUMBER(I78)),Lookup!$C$11,IF(AND(H78=\"Yes\",ISBLANK(I78)),Lookup!$C$12,IF(AND(H78=\"Yes\",I78>=G78),Lookup!$C$7,IF(AND(H78=\"No\",I78>=G78),Lookup!$C$8,IF(AND(H78=\"Yes\",I78<G78),Lookup!$C$9,IF(AND(H78=\"No\",I78<G78),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,148.41999999999999,null,{"$f":"IF(ISNUMBER(L78),IF(ISBLANK(M78),\"\",IF(M78>=L78,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},148.41999999999999,null,{"$f":"IF(ISNUMBER(O78),IF(ISBLANK(P78),\"\",IF(P78>=O78,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12018,"Rpr f/e/e/n/l/m >30.0 cm","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C79),IF(OR(AND(ISBLANK(D79),ISBLANK(E79)),AND(D79=\"No\",ISBLANK(E79))),\"\",IF(AND(ISBLANK(D79),ISNUMBER(E79)),Lookup!$C$11,IF(AND(D79=\"Yes\",ISBLANK(E79)),Lookup!$C$12,IF(AND(D79=\"Yes\",E79>=C79),Lookup!$C$7,IF(AND(D79=\"No\",E79>=C79),Lookup!$C$8,IF(AND(D79=\"Yes\",E79<C79),Lookup!$C$9,IF(AND(D79=\"No\",E79<C79),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G79),IF(OR(AND(ISBLANK(H79),ISBLANK(I79)),AND(H79=\"No\",ISBLANK(I79))),\"\",IF(AND(ISBLANK(H79),ISNUMBER(I79)),Lookup!$C$11,IF(AND(H79=\"Yes\",ISBLANK(I79)),Lookup!$C$12,IF(AND(H79=\"Yes\",I79>=G79),Lookup!$C$7,IF(AND(H79=\"No\",I79>=G79),Lookup!$C$8,IF(AND(H79=\"Yes\",I79<G79),Lookup!$C$9,IF(AND(H79=\"No\",I79<G79),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,168.09,null,{"$f":"IF(ISNUMBER(L79),IF(ISBLANK(M79),\"\",IF(M79>=L79,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},168.09,null,{"$f":"IF(ISNUMBER(O79),IF(ISBLANK(P79),\"\",IF(P79>=O79,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12020,"Closure of split wound",299.08999999999997,null,null,{"$f":"IF(ISNUMBER(C80),IF(OR(AND(ISBLANK(D80),ISBLANK(E80)),AND(D80=\"No\",ISBLANK(E80))),\"\",IF(AND(ISBLANK(D80),ISNUMBER(E80)),Lookup!$C$11,IF(AND(D80=\"Yes\",ISBLANK(E80)),Lookup!$C$12,IF(AND(D80=\"Yes\",E80>=C80),Lookup!$C$7,IF(AND(D80=\"No\",E80>=C80),Lookup!$C$8,IF(AND(D80=\"Yes\",E80<C80),Lookup!$C$9,IF(AND(D80=\"No\",E80<C80),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},299.08999999999997,null,null,{"$f":"IF(ISNUMBER(G80),IF(OR(AND(ISBLANK(H80),ISBLANK(I80)),AND(H80=\"No\",ISBLANK(I80))),\"\",IF(AND(ISBLANK(H80),ISNUMBER(I80)),Lookup!$C$11,IF(AND(H80=\"Yes\",ISBLANK(I80)),Lookup!$C$12,IF(AND(H80=\"Yes\",I80>=G80),Lookup!$C$7,IF(AND(H80=\"No\",I80>=G80),Lookup!$C$8,IF(AND(H80=\"Yes\",I80<G80),Lookup!$C$9,IF(AND(H80=\"No\",I80<G80),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,289.02,null,{"$f":"IF(ISNUMBER(L80),IF(ISBLANK(M80),\"\",IF(M80>=L80,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},289.02,null,{"$f":"IF(ISNUMBER(O80),IF(ISBLANK(P80),\"\",IF(P80>=O80,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12021,"Closure of split wound",177.29,null,null,{"$f":"IF(ISNUMBER(C81),IF(OR(AND(ISBLANK(D81),ISBLANK(E81)),AND(D81=\"No\",ISBLANK(E81))),\"\",IF(AND(ISBLANK(D81),ISNUMBER(E81)),Lookup!$C$11,IF(AND(D81=\"Yes\",ISBLANK(E81)),Lookup!$C$12,IF(AND(D81=\"Yes\",E81>=C81),Lookup!$C$7,IF(AND(D81=\"No\",E81>=C81),Lookup!$C$8,IF(AND(D81=\"Yes\",E81<C81),Lookup!$C$9,IF(AND(D81=\"No\",E81<C81),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},177.29,null,null,{"$f":"IF(ISNUMBER(G81),IF(OR(AND(ISBLANK(H81),ISBLANK(I81)),AND(H81=\"No\",ISBLANK(I81))),\"\",IF(AND(ISBLANK(H81),ISNUMBER(I81)),Lookup!$C$11,IF(AND(H81=\"Yes\",ISBLANK(I81)),Lookup!$C$12,IF(AND(H81=\"Yes\",I81>=G81),Lookup!$C$7,IF(AND(H81=\"No\",I81>=G81),Lookup!$C$8,IF(AND(H81=\"Yes\",I81<G81),Lookup!$C$9,IF(AND(H81=\"No\",I81<G81),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,170.69,null,{"$f":"IF(ISNUMBER(L81),IF(ISBLANK(M81),\"\",IF(M81>=L81,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},170.69,null,{"$f":"IF(ISNUMBER(O81),IF(ISBLANK(P81),\"\",IF(P81>=O81,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12031,"Intmd rpr s/a/t/ext 2.5 cm/<",261.97000000000003,null,null,{"$f":"IF(ISNUMBER(C82),IF(OR(AND(ISBLANK(D82),ISBLANK(E82)),AND(D82=\"No\",ISBLANK(E82))),\"\",IF(AND(ISBLANK(D82),ISNUMBER(E82)),Lookup!$C$11,IF(AND(D82=\"Yes\",ISBLANK(E82)),Lookup!$C$12,IF(AND(D82=\"Yes\",E82>=C82),Lookup!$C$7,IF(AND(D82=\"No\",E82>=C82),Lookup!$C$8,IF(AND(D82=\"Yes\",E82<C82),Lookup!$C$9,IF(AND(D82=\"No\",E82<C82),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},261.97000000000003,null,null,{"$f":"IF(ISNUMBER(G82),IF(OR(AND(ISBLANK(H82),ISBLANK(I82)),AND(H82=\"No\",ISBLANK(I82))),\"\",IF(AND(ISBLANK(H82),ISNUMBER(I82)),Lookup!$C$11,IF(AND(H82=\"Yes\",ISBLANK(I82)),Lookup!$C$12,IF(AND(H82=\"Yes\",I82>=G82),Lookup!$C$7,IF(AND(H82=\"No\",I82>=G82),Lookup!$C$8,IF(AND(H82=\"Yes\",I82<G82),Lookup!$C$9,IF(AND(H82=\"No\",I82<G82),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,251.69,null,{"$f":"IF(ISNUMBER(L82),IF(ISBLANK(M82),\"\",IF(M82>=L82,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},251.69,null,{"$f":"IF(ISNUMBER(O82),IF(ISBLANK(P82),\"\",IF(P82>=O82,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12032,"Intmd rpr s/a/t/ext 2.6-7.5",302.82,null,null,{"$f":"IF(ISNUMBER(C83),IF(OR(AND(ISBLANK(D83),ISBLANK(E83)),AND(D83=\"No\",ISBLANK(E83))),\"\",IF(AND(ISBLANK(D83),ISNUMBER(E83)),Lookup!$C$11,IF(AND(D83=\"Yes\",ISBLANK(E83)),Lookup!$C$12,IF(AND(D83=\"Yes\",E83>=C83),Lookup!$C$7,IF(AND(D83=\"No\",E83>=C83),Lookup!$C$8,IF(AND(D83=\"Yes\",E83<C83),Lookup!$C$9,IF(AND(D83=\"No\",E83<C83),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},302.82,null,null,{"$f":"IF(ISNUMBER(G83),IF(OR(AND(ISBLANK(H83),ISBLANK(I83)),AND(H83=\"No\",ISBLANK(I83))),\"\",IF(AND(ISBLANK(H83),ISNUMBER(I83)),Lookup!$C$11,IF(AND(H83=\"Yes\",ISBLANK(I83)),Lookup!$C$12,IF(AND(H83=\"Yes\",I83>=G83),Lookup!$C$7,IF(AND(H83=\"No\",I83>=G83),Lookup!$C$8,IF(AND(H83=\"Yes\",I83<G83),Lookup!$C$9,IF(AND(H83=\"No\",I83<G83),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,292.66000000000003,null,{"$f":"IF(ISNUMBER(L83),IF(ISBLANK(M83),\"\",IF(M83>=L83,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},292.66000000000003,null,{"$f":"IF(ISNUMBER(O83),IF(ISBLANK(P83),\"\",IF(P83>=O83,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12034,"Intmd rpr s/tr/ext 7.6-12.5",333.63,null,null,{"$f":"IF(ISNUMBER(C84),IF(OR(AND(ISBLANK(D84),ISBLANK(E84)),AND(D84=\"No\",ISBLANK(E84))),\"\",IF(AND(ISBLANK(D84),ISNUMBER(E84)),Lookup!$C$11,IF(AND(D84=\"Yes\",ISBLANK(E84)),Lookup!$C$12,IF(AND(D84=\"Yes\",E84>=C84),Lookup!$C$7,IF(AND(D84=\"No\",E84>=C84),Lookup!$C$8,IF(AND(D84=\"Yes\",E84<C84),Lookup!$C$9,IF(AND(D84=\"No\",E84<C84),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},333.63,null,null,{"$f":"IF(ISNUMBER(G84),IF(OR(AND(ISBLANK(H84),ISBLANK(I84)),AND(H84=\"No\",ISBLANK(I84))),\"\",IF(AND(ISBLANK(H84),ISNUMBER(I84)),Lookup!$C$11,IF(AND(H84=\"Yes\",ISBLANK(I84)),Lookup!$C$12,IF(AND(H84=\"Yes\",I84>=G84),Lookup!$C$7,IF(AND(H84=\"No\",I84>=G84),Lookup!$C$8,IF(AND(H84=\"Yes\",I84<G84),Lookup!$C$9,IF(AND(H84=\"No\",I84<G84),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,321.64999999999998,null,{"$f":"IF(ISNUMBER(L84),IF(ISBLANK(M84),\"\",IF(M84>=L84,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},321.64999999999998,null,{"$f":"IF(ISNUMBER(O84),IF(ISBLANK(P84),\"\",IF(P84>=O84,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12035,"Intmd rpr s/a/t/ext 12.6-20",387.76,null,null,{"$f":"IF(ISNUMBER(C85),IF(OR(AND(ISBLANK(D85),ISBLANK(E85)),AND(D85=\"No\",ISBLANK(E85))),\"\",IF(AND(ISBLANK(D85),ISNUMBER(E85)),Lookup!$C$11,IF(AND(D85=\"Yes\",ISBLANK(E85)),Lookup!$C$12,IF(AND(D85=\"Yes\",E85>=C85),Lookup!$C$7,IF(AND(D85=\"No\",E85>=C85),Lookup!$C$8,IF(AND(D85=\"Yes\",E85<C85),Lookup!$C$9,IF(AND(D85=\"No\",E85<C85),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},387.76,null,null,{"$f":"IF(ISNUMBER(G85),IF(OR(AND(ISBLANK(H85),ISBLANK(I85)),AND(H85=\"No\",ISBLANK(I85))),\"\",IF(AND(ISBLANK(H85),ISNUMBER(I85)),Lookup!$C$11,IF(AND(H85=\"Yes\",ISBLANK(I85)),Lookup!$C$12,IF(AND(H85=\"Yes\",I85>=G85),Lookup!$C$7,IF(AND(H85=\"No\",I85>=G85),Lookup!$C$8,IF(AND(H85=\"Yes\",I85<G85),Lookup!$C$9,IF(AND(H85=\"No\",I85<G85),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,375.83,null,{"$f":"IF(ISNUMBER(L85),IF(ISBLANK(M85),\"\",IF(M85>=L85,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},375.83,null,{"$f":"IF(ISNUMBER(O85),IF(ISBLANK(P85),\"\",IF(P85>=O85,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12036,"Intmd rpr s/a/t/ext 20.1-30",432.06,null,null,{"$f":"IF(ISNUMBER(C86),IF(OR(AND(ISBLANK(D86),ISBLANK(E86)),AND(D86=\"No\",ISBLANK(E86))),\"\",IF(AND(ISBLANK(D86),ISNUMBER(E86)),Lookup!$C$11,IF(AND(D86=\"Yes\",ISBLANK(E86)),Lookup!$C$12,IF(AND(D86=\"Yes\",E86>=C86),Lookup!$C$7,IF(AND(D86=\"No\",E86>=C86),Lookup!$C$8,IF(AND(D86=\"Yes\",E86<C86),Lookup!$C$9,IF(AND(D86=\"No\",E86<C86),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},432.06,null,null,{"$f":"IF(ISNUMBER(G86),IF(OR(AND(ISBLANK(H86),ISBLANK(I86)),AND(H86=\"No\",ISBLANK(I86))),\"\",IF(AND(ISBLANK(H86),ISNUMBER(I86)),Lookup!$C$11,IF(AND(H86=\"Yes\",ISBLANK(I86)),Lookup!$C$12,IF(AND(H86=\"Yes\",I86>=G86),Lookup!$C$7,IF(AND(H86=\"No\",I86>=G86),Lookup!$C$8,IF(AND(H86=\"Yes\",I86<G86),Lookup!$C$9,IF(AND(H86=\"No\",I86<G86),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,420.52,null,{"$f":"IF(ISNUMBER(L86),IF(ISBLANK(M86),\"\",IF(M86>=L86,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},420.52,null,{"$f":"IF(ISNUMBER(O86),IF(ISBLANK(P86),\"\",IF(P86>=O86,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12037,"Intmd rpr s/tr/ext >30.0 cm",485.4,null,null,{"$f":"IF(ISNUMBER(C87),IF(OR(AND(ISBLANK(D87),ISBLANK(E87)),AND(D87=\"No\",ISBLANK(E87))),\"\",IF(AND(ISBLANK(D87),ISNUMBER(E87)),Lookup!$C$11,IF(AND(D87=\"Yes\",ISBLANK(E87)),Lookup!$C$12,IF(AND(D87=\"Yes\",E87>=C87),Lookup!$C$7,IF(AND(D87=\"No\",E87>=C87),Lookup!$C$8,IF(AND(D87=\"Yes\",E87<C87),Lookup!$C$9,IF(AND(D87=\"No\",E87<C87),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},485.4,null,null,{"$f":"IF(ISNUMBER(G87),IF(OR(AND(ISBLANK(H87),ISBLANK(I87)),AND(H87=\"No\",ISBLANK(I87))),\"\",IF(AND(ISBLANK(H87),ISNUMBER(I87)),Lookup!$C$11,IF(AND(H87=\"Yes\",ISBLANK(I87)),Lookup!$C$12,IF(AND(H87=\"Yes\",I87>=G87),Lookup!$C$7,IF(AND(H87=\"No\",I87>=G87),Lookup!$C$8,IF(AND(H87=\"Yes\",I87<G87),Lookup!$C$9,IF(AND(H87=\"No\",I87<G87),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,471.71,null,{"$f":"IF(ISNUMBER(L87),IF(ISBLANK(M87),\"\",IF(M87>=L87,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},471.71,null,{"$f":"IF(ISNUMBER(O87),IF(ISBLANK(P87),\"\",IF(P87>=O87,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12041,"Intmd rpr n-hf/genit 2.5cm/<",262.67,null,null,{"$f":"IF(ISNUMBER(C88),IF(OR(AND(ISBLANK(D88),ISBLANK(E88)),AND(D88=\"No\",ISBLANK(E88))),\"\",IF(AND(ISBLANK(D88),ISNUMBER(E88)),Lookup!$C$11,IF(AND(D88=\"Yes\",ISBLANK(E88)),Lookup!$C$12,IF(AND(D88=\"Yes\",E88>=C88),Lookup!$C$7,IF(AND(D88=\"No\",E88>=C88),Lookup!$C$8,IF(AND(D88=\"Yes\",E88<C88),Lookup!$C$9,IF(AND(D88=\"No\",E88<C88),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},262.67,null,null,{"$f":"IF(ISNUMBER(G88),IF(OR(AND(ISBLANK(H88),ISBLANK(I88)),AND(H88=\"No\",ISBLANK(I88))),\"\",IF(AND(ISBLANK(H88),ISNUMBER(I88)),Lookup!$C$11,IF(AND(H88=\"Yes\",ISBLANK(I88)),Lookup!$C$12,IF(AND(H88=\"Yes\",I88>=G88),Lookup!$C$7,IF(AND(H88=\"No\",I88>=G88),Lookup!$C$8,IF(AND(H88=\"Yes\",I88<G88),Lookup!$C$9,IF(AND(H88=\"No\",I88<G88),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,252.99,null,{"$f":"IF(ISNUMBER(L88),IF(ISBLANK(M88),\"\",IF(M88>=L88,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},252.99,null,{"$f":"IF(ISNUMBER(O88),IF(ISBLANK(P88),\"\",IF(P88>=O88,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12044,"Intmd rpr n-hf/genit7.6-12.5",381.24,null,null,{"$f":"IF(ISNUMBER(C89),IF(OR(AND(ISBLANK(D89),ISBLANK(E89)),AND(D89=\"No\",ISBLANK(E89))),\"\",IF(AND(ISBLANK(D89),ISNUMBER(E89)),Lookup!$C$11,IF(AND(D89=\"Yes\",ISBLANK(E89)),Lookup!$C$12,IF(AND(D89=\"Yes\",E89>=C89),Lookup!$C$7,IF(AND(D89=\"No\",E89>=C89),Lookup!$C$8,IF(AND(D89=\"Yes\",E89<C89),Lookup!$C$9,IF(AND(D89=\"No\",E89<C89),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},381.24,null,null,{"$f":"IF(ISNUMBER(G89),IF(OR(AND(ISBLANK(H89),ISBLANK(I89)),AND(H89=\"No\",ISBLANK(I89))),\"\",IF(AND(ISBLANK(H89),ISNUMBER(I89)),Lookup!$C$11,IF(AND(H89=\"Yes\",ISBLANK(I89)),Lookup!$C$12,IF(AND(H89=\"Yes\",I89>=G89),Lookup!$C$7,IF(AND(H89=\"No\",I89>=G89),Lookup!$C$8,IF(AND(H89=\"Yes\",I89<G89),Lookup!$C$9,IF(AND(H89=\"No\",I89<G89),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,368.49,null,{"$f":"IF(ISNUMBER(L89),IF(ISBLANK(M89),\"\",IF(M89>=L89,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},368.49,null,{"$f":"IF(ISNUMBER(O89),IF(ISBLANK(P89),\"\",IF(P89>=O89,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12045,"Intmd rpr n-hf/genit12.6-20",411.92,null,null,{"$f":"IF(ISNUMBER(C90),IF(OR(AND(ISBLANK(D90),ISBLANK(E90)),AND(D90=\"No\",ISBLANK(E90))),\"\",IF(AND(ISBLANK(D90),ISNUMBER(E90)),Lookup!$C$11,IF(AND(D90=\"Yes\",ISBLANK(E90)),Lookup!$C$12,IF(AND(D90=\"Yes\",E90>=C90),Lookup!$C$7,IF(AND(D90=\"No\",E90>=C90),Lookup!$C$8,IF(AND(D90=\"Yes\",E90<C90),Lookup!$C$9,IF(AND(D90=\"No\",E90<C90),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},411.92,null,null,{"$f":"IF(ISNUMBER(G90),IF(OR(AND(ISBLANK(H90),ISBLANK(I90)),AND(H90=\"No\",ISBLANK(I90))),\"\",IF(AND(ISBLANK(H90),ISNUMBER(I90)),Lookup!$C$11,IF(AND(H90=\"Yes\",ISBLANK(I90)),Lookup!$C$12,IF(AND(H90=\"Yes\",I90>=G90),Lookup!$C$7,IF(AND(H90=\"No\",I90>=G90),Lookup!$C$8,IF(AND(H90=\"Yes\",I90<G90),Lookup!$C$9,IF(AND(H90=\"No\",I90<G90),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,398.39,null,{"$f":"IF(ISNUMBER(L90),IF(ISBLANK(M90),\"\",IF(M90>=L90,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},398.39,null,{"$f":"IF(ISNUMBER(O90),IF(ISBLANK(P90),\"\",IF(P90>=O90,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12046,"Intmd rpr n-hf/genit20.1-30",498.46,null,null,{"$f":"IF(ISNUMBER(C91),IF(OR(AND(ISBLANK(D91),ISBLANK(E91)),AND(D91=\"No\",ISBLANK(E91))),\"\",IF(AND(ISBLANK(D91),ISNUMBER(E91)),Lookup!$C$11,IF(AND(D91=\"Yes\",ISBLANK(E91)),Lookup!$C$12,IF(AND(D91=\"Yes\",E91>=C91),Lookup!$C$7,IF(AND(D91=\"No\",E91>=C91),Lookup!$C$8,IF(AND(D91=\"Yes\",E91<C91),Lookup!$C$9,IF(AND(D91=\"No\",E91<C91),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},498.46,null,null,{"$f":"IF(ISNUMBER(G91),IF(OR(AND(ISBLANK(H91),ISBLANK(I91)),AND(H91=\"No\",ISBLANK(I91))),\"\",IF(AND(ISBLANK(H91),ISNUMBER(I91)),Lookup!$C$11,IF(AND(H91=\"Yes\",ISBLANK(I91)),Lookup!$C$12,IF(AND(H91=\"Yes\",I91>=G91),Lookup!$C$7,IF(AND(H91=\"No\",I91>=G91),Lookup!$C$8,IF(AND(H91=\"Yes\",I91<G91),Lookup!$C$9,IF(AND(H91=\"No\",I91<G91),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,483.11,null,{"$f":"IF(ISNUMBER(L91),IF(ISBLANK(M91),\"\",IF(M91>=L91,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},483.11,null,{"$f":"IF(ISNUMBER(O91),IF(ISBLANK(P91),\"\",IF(P91>=O91,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12047,"Intmd rpr n-hf/genit >30.0cm",545.83000000000004,null,null,{"$f":"IF(ISNUMBER(C92),IF(OR(AND(ISBLANK(D92),ISBLANK(E92)),AND(D92=\"No\",ISBLANK(E92))),\"\",IF(AND(ISBLANK(D92),ISNUMBER(E92)),Lookup!$C$11,IF(AND(D92=\"Yes\",ISBLANK(E92)),Lookup!$C$12,IF(AND(D92=\"Yes\",E92>=C92),Lookup!$C$7,IF(AND(D92=\"No\",E92>=C92),Lookup!$C$8,IF(AND(D92=\"Yes\",E92<C92),Lookup!$C$9,IF(AND(D92=\"No\",E92<C92),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},545.83000000000004,null,null,{"$f":"IF(ISNUMBER(G92),IF(OR(AND(ISBLANK(H92),ISBLANK(I92)),AND(H92=\"No\",ISBLANK(I92))),\"\",IF(AND(ISBLANK(H92),ISNUMBER(I92)),Lookup!$C$11,IF(AND(H92=\"Yes\",ISBLANK(I92)),Lookup!$C$12,IF(AND(H92=\"Yes\",I92>=G92),Lookup!$C$7,IF(AND(H92=\"No\",I92>=G92),Lookup!$C$8,IF(AND(H92=\"Yes\",I92<G92),Lookup!$C$9,IF(AND(H92=\"No\",I92<G92),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,529.78,null,{"$f":"IF(ISNUMBER(L92),IF(ISBLANK(M92),\"\",IF(M92>=L92,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},529.78,null,{"$f":"IF(ISNUMBER(O92),IF(ISBLANK(P92),\"\",IF(P92>=O92,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12051,"Intmd rpr face/mm 2.5 cm/<",282.55,null,null,{"$f":"IF(ISNUMBER(C93),IF(OR(AND(ISBLANK(D93),ISBLANK(E93)),AND(D93=\"No\",ISBLANK(E93))),\"\",IF(AND(ISBLANK(D93),ISNUMBER(E93)),Lookup!$C$11,IF(AND(D93=\"Yes\",ISBLANK(E93)),Lookup!$C$12,IF(AND(D93=\"Yes\",E93>=C93),Lookup!$C$7,IF(AND(D93=\"No\",E93>=C93),Lookup!$C$8,IF(AND(D93=\"Yes\",E93<C93),Lookup!$C$9,IF(AND(D93=\"No\",E93<C93),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},282.55,null,null,{"$f":"IF(ISNUMBER(G93),IF(OR(AND(ISBLANK(H93),ISBLANK(I93)),AND(H93=\"No\",ISBLANK(I93))),\"\",IF(AND(ISBLANK(H93),ISNUMBER(I93)),Lookup!$C$11,IF(AND(H93=\"Yes\",ISBLANK(I93)),Lookup!$C$12,IF(AND(H93=\"Yes\",I93>=G93),Lookup!$C$7,IF(AND(H93=\"No\",I93>=G93),Lookup!$C$8,IF(AND(H93=\"Yes\",I93<G93),Lookup!$C$9,IF(AND(H93=\"No\",I93<G93),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,271.38,null,{"$f":"IF(ISNUMBER(L93),IF(ISBLANK(M93),\"\",IF(M93>=L93,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},271.38,null,{"$f":"IF(ISNUMBER(O93),IF(ISBLANK(P93),\"\",IF(P93>=O93,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[12053,"Intmd rpr face/mm 5.1-7.5 cm",362.14,null,null,{"$f":"IF(ISNUMBER(C95),IF(OR(AND(ISBLANK(D95),ISBLANK(E95)),AND(D95=\"No\",ISBLANK(E95))),\"\",IF(AND(ISBLANK(D95),ISNUMBER(E95)),Lookup!$C$11,IF(AND(D95=\"Yes\",ISBLANK(E95)),Lookup!$C$12,IF(AND(D95=\"Yes\",E95>=C95),Lookup!$C$7,IF(AND(D95=\"No\",E95>=C95),Lookup!$C$8,IF(AND(D95=\"Yes\",E95<C95),Lookup!$C$9,IF(AND(D95=\"No\",E95<C95),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},362.14,null,null,{"$f":"IF(ISNUMBER(G95),IF(OR(AND(ISBLANK(H95),ISBLANK(I95)),AND(H95=\"No\",ISBLANK(I95))),\"\",IF(AND(ISBLANK(H95),ISNUMBER(I95)),Lookup!$C$11,IF(AND(H95=\"Yes\",ISBLANK(I95)),Lookup!$C$12,IF(AND(H95=\"Yes\",I95>=G95),Lookup!$C$7,IF(AND(H95=\"No\",I95>=G95),Lookup!$C$8,IF(AND(H95=\"Yes\",I95<G95),Lookup!$C$9,IF(AND(H95=\"No\",I95<G95),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,348.71,null,{"$f":"IF(ISNUMBER(L95),IF(ISBLANK(M95),\"\",IF(M95>=L95,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},348.71,null,{"$f":"IF(ISNUMBER(O95),IF(ISBLANK(P95),\"\",IF(P95>=O95,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12054,"Intmd rpr face/mm 7.6-12.5cm",381.31,null,null,{"$f":"IF(ISNUMBER(C96),IF(OR(AND(ISBLANK(D96),ISBLANK(E96)),AND(D96=\"No\",ISBLANK(E96))),\"\",IF(AND(ISBLANK(D96),ISNUMBER(E96)),Lookup!$C$11,IF(AND(D96=\"Yes\",ISBLANK(E96)),Lookup!$C$12,IF(AND(D96=\"Yes\",E96>=C96),Lookup!$C$7,IF(AND(D96=\"No\",E96>=C96),Lookup!$C$8,IF(AND(D96=\"Yes\",E96<C96),Lookup!$C$9,IF(AND(D96=\"No\",E96<C96),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},381.31,null,null,{"$f":"IF(ISNUMBER(G96),IF(OR(AND(ISBLANK(H96),ISBLANK(I96)),AND(H96=\"No\",ISBLANK(I96))),\"\",IF(AND(ISBLANK(H96),ISNUMBER(I96)),Lookup!$C$11,IF(AND(H96=\"Yes\",ISBLANK(I96)),Lookup!$C$12,IF(AND(H96=\"Yes\",I96>=G96),Lookup!$C$7,IF(AND(H96=\"No\",I96>=G96),Lookup!$C$8,IF(AND(H96=\"Yes\",I96<G96),Lookup!$C$9,IF(AND(H96=\"No\",I96<G96),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,367.02,null,{"$f":"IF(ISNUMBER(L96),IF(ISBLANK(M96),\"\",IF(M96>=L96,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},367.02,null,{"$f":"IF(ISNUMBER(O96),IF(ISBLANK(P96),\"\",IF(P96>=O96,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[12055,"Intmd rpr face/mm 12.6-20 cm",501,null,null,{"$f":"IF(ISNUMBER(C97),IF(OR(AND(ISBLANK(D97),ISBLANK(E97)),AND(D97=\"No\",ISBLANK(E97))),\"\",IF(AND(ISBLANK(D97),ISNUMBER(E97)),Lookup!$C$11,IF(AND(D97=\"Yes\",ISBLANK(E97)),Lookup!$C$12,IF(AND(D97=\"Yes\",E97>=C97),Lookup!$C$7,IF(AND(D97=\"No\",E97>=C97),Lookup!$C$8,IF(AND(D97=\"Yes\",E97<C97),Lookup!$C$9,IF(AND(D97=\"No\",E97<C97),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},501,null,null,{"$f":"IF(ISNUMBER(G97),IF(OR(AND(ISBLANK(H97),ISBLANK(I97)),AND(H97=\"No\",ISBLANK(I97))),\"\",IF(AND(ISBLANK(H97),ISNUMBER(I97)),Lookup!$C$11,IF(AND(H97=\"Yes\",ISBLANK(I97)),Lookup!$C$12,IF(AND(H97=\"Yes\",I97>=G97),Lookup!$C$7,IF(AND(H97=\"No\",I97>=G97),Lookup!$C$8,IF(AND(H97=\"Yes\",I97<G97),Lookup!$C$9,IF(AND(H97=\"No\",I97<G97),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,482.97,null,{"$f":"IF(ISNUMBER(L97),IF(ISBLANK(M97),\"\",IF(M97>=L97,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},482.97,null,{"$f":"IF(ISNUMBER(O97),IF(ISBLANK(P97),\"\",IF(P97>=O97,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[12057,"Intmd rpr face/mm >30.0 cm",603.77,null,null,{"$f":"IF(ISNUMBER(C99),IF(OR(AND(ISBLANK(D99),ISBLANK(E99)),AND(D99=\"No\",ISBLANK(E99))),\"\",IF(AND(ISBLANK(D99),ISNUMBER(E99)),Lookup!$C$11,IF(AND(D99=\"Yes\",ISBLANK(E99)),Lookup!$C$12,IF(AND(D99=\"Yes\",E99>=C99),Lookup!$C$7,IF(AND(D99=\"No\",E99>=C99),Lookup!$C$8,IF(AND(D99=\"Yes\",E99<C99),Lookup!$C$9,IF(AND(D99=\"No\",E99<C99),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},603.77,null,null,{"$f":"IF(ISNUMBER(G99),IF(OR(AND(ISBLANK(H99),ISBLANK(I99)),AND(H99=\"No\",ISBLANK(I99))),\"\",IF(AND(ISBLANK(H99),ISNUMBER(I99)),Lookup!$C$11,IF(AND(H99=\"Yes\",ISBLANK(I99)),Lookup!$C$12,IF(AND(H99=\"Yes\",I99>=G99),Lookup!$C$7,IF(AND(H99=\"No\",I99>=G99),Lookup!$C$8,IF(AND(H99=\"Yes\",I99<G99),Lookup!$C$9,IF(AND(H99=\"No\",I99<G99),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,583.51,null,{"$f":"IF(ISNUMBER(L99),IF(ISBLANK(M99),\"\",IF(M99>=L99,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},583.51,null,{"$f":"IF(ISNUMBER(O99),IF(ISBLANK(P99),\"\",IF(P99>=O99,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[13160,"Late closure of wound","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C100),IF(OR(AND(ISBLANK(D100),ISBLANK(E100)),AND(D100=\"No\",ISBLANK(E100))),\"\",IF(AND(ISBLANK(D100),ISNUMBER(E100)),Lookup!$C$11,IF(AND(D100=\"Yes\",ISBLANK(E100)),Lookup!$C$12,IF(AND(D100=\"Yes\",E100>=C100),Lookup!$C$7,IF(AND(D100=\"No\",E100>=C100),Lookup!$C$8,IF(AND(D100=\"Yes\",E100<C100),Lookup!$C$9,IF(AND(D100=\"No\",E100<C100),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G100),IF(OR(AND(ISBLANK(H100),ISBLANK(I100)),AND(H100=\"No\",ISBLANK(I100))),\"\",IF(AND(ISBLANK(H100),ISNUMBER(I100)),Lookup!$C$11,IF(AND(H100=\"Yes\",ISBLANK(I100)),Lookup!$C$12,IF(AND(H100=\"Yes\",I100>=G100),Lookup!$C$7,IF(AND(H100=\"No\",I100>=G100),Lookup!$C$8,IF(AND(H100=\"Yes\",I100<G100),Lookup!$C$9,IF(AND(H100=\"No\",I100<G100),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,777.71,null,{"$f":"IF(ISNUMBER(L100),IF(ISBLANK(M100),\"\",IF(M100>=L100,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},777.71,null,{"$f":"IF(ISNUMBER(O100),IF(ISBLANK(P100),\"\",IF(P100>=O100,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[16020,"Dress/debrid p-thick burn s",85.75,null,null,{"$f":"IF(ISNUMBER(C101),IF(OR(AND(ISBLANK(D101),ISBLANK(E101)),AND(D101=\"No\",ISBLANK(E101))),\"\",IF(AND(ISBLANK(D101),ISNUMBER(E101)),Lookup!$C$11,IF(AND(D101=\"Yes\",ISBLANK(E101)),Lookup!$C$12,IF(AND(D101=\"Yes\",E101>=C101),Lookup!$C$7,IF(AND(D101=\"No\",E101>=C101),Lookup!$C$8,IF(AND(D101=\"Yes\",E101<C101),Lookup!$C$9,IF(AND(D101=\"No\",E101<C101),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},85.75,null,null,{"$f":"IF(ISNUMBER(G101),IF(OR(AND(ISBLANK(H101),ISBLANK(I101)),AND(H101=\"No\",ISBLANK(I101))),\"\",IF(AND(ISBLANK(H101),ISNUMBER(I101)),Lookup!$C$11,IF(AND(H101=\"Yes\",ISBLANK(I101)),Lookup!$C$12,IF(AND(H101=\"Yes\",I101>=G101),Lookup!$C$7,IF(AND(H101=\"No\",I101>=G101),Lookup!$C$8,IF(AND(H101=\"Yes\",I101<G101),Lookup!$C$9,IF(AND(H101=\"No\",I101<G101),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,83,null,{"$f":"IF(ISNUMBER(L101),IF(ISBLANK(M101),\"\",IF(M101>=L101,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},83,null,{"$f":"IF(ISNUMBER(O101),IF(ISBLANK(P101),\"\",IF(P101>=O101,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[17106,"Destruction of skin lesions",344.89,null,null,{"$f":"IF(ISNUMBER(C102),IF(OR(AND(ISBLANK(D102),ISBLANK(E102)),AND(D102=\"No\",ISBLANK(E102))),\"\",IF(AND(ISBLANK(D102),ISNUMBER(E102)),Lookup!$C$11,IF(AND(D102=\"Yes\",ISBLANK(E102)),Lookup!$C$12,IF(AND(D102=\"Yes\",E102>=C102),Lookup!$C$7,IF(AND(D102=\"No\",E102>=C102),Lookup!$C$8,IF(AND(D102=\"Yes\",E102<C102),Lookup!$C$9,IF(AND(D102=\"No\",E102<C102),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},344.89,null,null,{"$f":"IF(ISNUMBER(G102),IF(OR(AND(ISBLANK(H102),ISBLANK(I102)),AND(H102=\"No\",ISBLANK(I102))),\"\",IF(AND(ISBLANK(H102),ISNUMBER(I102)),Lookup!$C$11,IF(AND(H102=\"Yes\",ISBLANK(I102)),Lookup!$C$12,IF(AND(H102=\"Yes\",I102>=G102),Lookup!$C$7,IF(AND(H102=\"No\",I102>=G102),Lookup!$C$8,IF(AND(H102=\"Yes\",I102<G102),Lookup!$C$9,IF(AND(H102=\"No\",I102<G102),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,336.41,null,{"$f":"IF(ISNUMBER(L102),IF(ISBLANK(M102),\"\",IF(M102>=L102,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},336.41,null,{"$f":"IF(ISNUMBER(O102),IF(ISBLANK(P102),\"\",IF(P102>=O102,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[20612,"Drain/Inj Ganglion Cyst",64.97,null,null,{"$f":"IF(ISNUMBER(C117),IF(OR(AND(ISBLANK(D117),ISBLANK(E117)),AND(D117=\"No\",ISBLANK(E117))),\"\",IF(AND(ISBLANK(D117),ISNUMBER(E117)),Lookup!$C$11,IF(AND(D117=\"Yes\",ISBLANK(E117)),Lookup!$C$12,IF(AND(D117=\"Yes\",E117>=C117),Lookup!$C$7,IF(AND(D117=\"No\",E117>=C117),Lookup!$C$8,IF(AND(D117=\"Yes\",E117<C117),Lookup!$C$9,IF(AND(D117=\"No\",E117<C117),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},64.97,null,null,{"$f":"IF(ISNUMBER(G117),IF(OR(AND(ISBLANK(H117),ISBLANK(I117)),AND(H117=\"No\",ISBLANK(I117))),\"\",IF(AND(ISBLANK(H117),ISNUMBER(I117)),Lookup!$C$11,IF(AND(H117=\"Yes\",ISBLANK(I117)),Lookup!$C$12,IF(AND(H117=\"Yes\",I117>=G117),Lookup!$C$7,IF(AND(H117=\"No\",I117>=G117),Lookup!$C$8,IF(AND(H117=\"Yes\",I117<G117),Lookup!$C$9,IF(AND(H117=\"No\",I117<G117),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,63.46,null,{"$f":"IF(ISNUMBER(L117),IF(ISBLANK(M117),\"\",IF(M117>=L117,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},63.46,null,{"$f":"IF(ISNUMBER(O117),IF(ISBLANK(P117),\"\",IF(P117>=O117,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[24640,"Closed Treat Radial Head Sublx Child",104.93,null,null,{"$f":"IF(ISNUMBER(C118),IF(OR(AND(ISBLANK(D118),ISBLANK(E118)),AND(D118=\"No\",ISBLANK(E118))),\"\",IF(AND(ISBLANK(D118),ISNUMBER(E118)),Lookup!$C$11,IF(AND(D118=\"Yes\",ISBLANK(E118)),Lookup!$C$12,IF(AND(D118=\"Yes\",E118>=C118),Lookup!$C$7,IF(AND(D118=\"No\",E118>=C118),Lookup!$C$8,IF(AND(D118=\"Yes\",E118<C118),Lookup!$C$9,IF(AND(D118=\"No\",E118<C118),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},104.93,null,null,{"$f":"IF(ISNUMBER(G118),IF(OR(AND(ISBLANK(H118),ISBLANK(I118)),AND(H118=\"No\",ISBLANK(I118))),\"\",IF(AND(ISBLANK(H118),ISNUMBER(I118)),Lookup!$C$11,IF(AND(H118=\"Yes\",ISBLANK(I118)),Lookup!$C$12,IF(AND(H118=\"Yes\",I118>=G118),Lookup!$C$7,IF(AND(H118=\"No\",I118>=G118),Lookup!$C$8,IF(AND(H118=\"Yes\",I118<G118),Lookup!$C$9,IF(AND(H118=\"No\",I118<G118),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,101.01,null,{"$f":"IF(ISNUMBER(L118),IF(ISBLANK(M118),\"\",IF(M118>=L118,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},101.01,null,{"$f":"IF(ISNUMBER(O118),IF(ISBLANK(P118),\"\",IF(P118>=O118,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[27096,"Inject sacroiliac joint",163.43,null,null,{"$f":"IF(ISNUMBER(C119),IF(OR(AND(ISBLANK(D119),ISBLANK(E119)),AND(D119=\"No\",ISBLANK(E119))),\"\",IF(AND(ISBLANK(D119),ISNUMBER(E119)),Lookup!$C$11,IF(AND(D119=\"Yes\",ISBLANK(E119)),Lookup!$C$12,IF(AND(D119=\"Yes\",E119>=C119),Lookup!$C$7,IF(AND(D119=\"No\",E119>=C119),Lookup!$C$8,IF(AND(D119=\"Yes\",E119<C119),Lookup!$C$9,IF(AND(D119=\"No\",E119<C119),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},163.43,null,null,{"$f":"IF(ISNUMBER(G119),IF(OR(AND(ISBLANK(H119),ISBLANK(I119)),AND(H119=\"No\",ISBLANK(I119))),\"\",IF(AND(ISBLANK(H119),ISNUMBER(I119)),Lookup!$C$11,IF(AND(H119=\"Yes\",ISBLANK(I119)),Lookup!$C$12,IF(AND(H119=\"Yes\",I119>=G119),Lookup!$C$7,IF(AND(H119=\"No\",I119>=G119),Lookup!$C$8,IF(AND(H119=\"Yes\",I119<G119),Lookup!$C$9,IF(AND(H119=\"No\",I119<G119),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,158.47999999999999,null,{"$f":"IF(ISNUMBER(L119),IF(ISBLANK(M119),\"\",IF(M119>=L119,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},158.47999999999999,null,{"$f":"IF(ISNUMBER(O119),IF(ISBLANK(P119),\"\",IF(P119>=O119,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29105,"Apply long arm splint","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C120),IF(OR(AND(ISBLANK(D120),ISBLANK(E120)),AND(D120=\"No\",ISBLANK(E120))),\"\",IF(AND(ISBLANK(D120),ISNUMBER(E120)),Lookup!$C$11,IF(AND(D120=\"Yes\",ISBLANK(E120)),Lookup!$C$12,IF(AND(D120=\"Yes\",E120>=C120),Lookup!$C$7,IF(AND(D120=\"No\",E120>=C120),Lookup!$C$8,IF(AND(D120=\"Yes\",E120<C120),Lookup!$C$9,IF(AND(D120=\"No\",E120<C120),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G120),IF(OR(AND(ISBLANK(H120),ISBLANK(I120)),AND(H120=\"No\",ISBLANK(I120))),\"\",IF(AND(ISBLANK(H120),ISNUMBER(I120)),Lookup!$C$11,IF(AND(H120=\"Yes\",ISBLANK(I120)),Lookup!$C$12,IF(AND(H120=\"Yes\",I120>=G120),Lookup!$C$7,IF(AND(H120=\"No\",I120>=G120),Lookup!$C$8,IF(AND(H120=\"Yes\",I120<G120),Lookup!$C$9,IF(AND(H120=\"No\",I120<G120),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,82.68,null,{"$f":"IF(ISNUMBER(L120),IF(ISBLANK(M120),\"\",IF(M120>=L120,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},82.68,null,{"$f":"IF(ISNUMBER(O120),IF(ISBLANK(P120),\"\",IF(P120>=O120,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29125,"Apply forearm splint",67.849999999999994,null,null,{"$f":"IF(ISNUMBER(C121),IF(OR(AND(ISBLANK(D121),ISBLANK(E121)),AND(D121=\"No\",ISBLANK(E121))),\"\",IF(AND(ISBLANK(D121),ISNUMBER(E121)),Lookup!$C$11,IF(AND(D121=\"Yes\",ISBLANK(E121)),Lookup!$C$12,IF(AND(D121=\"Yes\",E121>=C121),Lookup!$C$7,IF(AND(D121=\"No\",E121>=C121),Lookup!$C$8,IF(AND(D121=\"Yes\",E121<C121),Lookup!$C$9,IF(AND(D121=\"No\",E121<C121),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},67.849999999999994,null,null,{"$f":"IF(ISNUMBER(G121),IF(OR(AND(ISBLANK(H121),ISBLANK(I121)),AND(H121=\"No\",ISBLANK(I121))),\"\",IF(AND(ISBLANK(H121),ISNUMBER(I121)),Lookup!$C$11,IF(AND(H121=\"Yes\",ISBLANK(I121)),Lookup!$C$12,IF(AND(H121=\"Yes\",I121>=G121),Lookup!$C$7,IF(AND(H121=\"No\",I121>=G121),Lookup!$C$8,IF(AND(H121=\"Yes\",I121<G121),Lookup!$C$9,IF(AND(H121=\"No\",I121<G121),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,66.91,null,{"$f":"IF(ISNUMBER(L121),IF(ISBLANK(M121),\"\",IF(M121>=L121,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},66.91,null,{"$f":"IF(ISNUMBER(O121),IF(ISBLANK(P121),\"\",IF(P121>=O121,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29126,"Apply forearm splint",79.489999999999995,null,null,{"$f":"IF(ISNUMBER(C122),IF(OR(AND(ISBLANK(D122),ISBLANK(E122)),AND(D122=\"No\",ISBLANK(E122))),\"\",IF(AND(ISBLANK(D122),ISNUMBER(E122)),Lookup!$C$11,IF(AND(D122=\"Yes\",ISBLANK(E122)),Lookup!$C$12,IF(AND(D122=\"Yes\",E122>=C122),Lookup!$C$7,IF(AND(D122=\"No\",E122>=C122),Lookup!$C$8,IF(AND(D122=\"Yes\",E122<C122),Lookup!$C$9,IF(AND(D122=\"No\",E122<C122),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},79.489999999999995,null,null,{"$f":"IF(ISNUMBER(G122),IF(OR(AND(ISBLANK(H122),ISBLANK(I122)),AND(H122=\"No\",ISBLANK(I122))),\"\",IF(AND(ISBLANK(H122),ISNUMBER(I122)),Lookup!$C$11,IF(AND(H122=\"Yes\",ISBLANK(I122)),Lookup!$C$12,IF(AND(H122=\"Yes\",I122>=G122),Lookup!$C$7,IF(AND(H122=\"No\",I122>=G122),Lookup!$C$8,IF(AND(H122=\"Yes\",I122<G122),Lookup!$C$9,IF(AND(H122=\"No\",I122<G122),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,78.849999999999994,null,{"$f":"IF(ISNUMBER(L122),IF(ISBLANK(M122),\"\",IF(M122>=L122,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},78.849999999999994,null,{"$f":"IF(ISNUMBER(O122),IF(ISBLANK(P122),\"\",IF(P122>=O122,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29130,"Application of finger splint",42.42,null,null,{"$f":"IF(ISNUMBER(C123),IF(OR(AND(ISBLANK(D123),ISBLANK(E123)),AND(D123=\"No\",ISBLANK(E123))),\"\",IF(AND(ISBLANK(D123),ISNUMBER(E123)),Lookup!$C$11,IF(AND(D123=\"Yes\",ISBLANK(E123)),Lookup!$C$12,IF(AND(D123=\"Yes\",E123>=C123),Lookup!$C$7,IF(AND(D123=\"No\",E123>=C123),Lookup!$C$8,IF(AND(D123=\"Yes\",E123<C123),Lookup!$C$9,IF(AND(D123=\"No\",E123<C123),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},42.42,null,null,{"$f":"IF(ISNUMBER(G123),IF(OR(AND(ISBLANK(H123),ISBLANK(I123)),AND(H123=\"No\",ISBLANK(I123))),\"\",IF(AND(ISBLANK(H123),ISNUMBER(I123)),Lookup!$C$11,IF(AND(H123=\"Yes\",ISBLANK(I123)),Lookup!$C$12,IF(AND(H123=\"Yes\",I123>=G123),Lookup!$C$7,IF(AND(H123=\"No\",I123>=G123),Lookup!$C$8,IF(AND(H123=\"Yes\",I123<G123),Lookup!$C$9,IF(AND(H123=\"No\",I123<G123),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,41.88,null,{"$f":"IF(ISNUMBER(L123),IF(ISBLANK(M123),\"\",IF(M123>=L123,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},41.88,null,{"$f":"IF(ISNUMBER(O123),IF(ISBLANK(P123),\"\",IF(P123>=O123,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29131,"Application of finger splint",54.67,null,null,{"$f":"IF(ISNUMBER(C124),IF(OR(AND(ISBLANK(D124),ISBLANK(E124)),AND(D124=\"No\",ISBLANK(E124))),\"\",IF(AND(ISBLANK(D124),ISNUMBER(E124)),Lookup!$C$11,IF(AND(D124=\"Yes\",ISBLANK(E124)),Lookup!$C$12,IF(AND(D124=\"Yes\",E124>=C124),Lookup!$C$7,IF(AND(D124=\"No\",E124>=C124),Lookup!$C$8,IF(AND(D124=\"Yes\",E124<C124),Lookup!$C$9,IF(AND(D124=\"No\",E124<C124),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},54.67,null,null,{"$f":"IF(ISNUMBER(G124),IF(OR(AND(ISBLANK(H124),ISBLANK(I124)),AND(H124=\"No\",ISBLANK(I124))),\"\",IF(AND(ISBLANK(H124),ISNUMBER(I124)),Lookup!$C$11,IF(AND(H124=\"Yes\",ISBLANK(I124)),Lookup!$C$12,IF(AND(H124=\"Yes\",I124>=G124),Lookup!$C$7,IF(AND(H124=\"No\",I124>=G124),Lookup!$C$8,IF(AND(H124=\"Yes\",I124<G124),Lookup!$C$9,IF(AND(H124=\"No\",I124<G124),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,54.42,null,{"$f":"IF(ISNUMBER(L124),IF(ISBLANK(M124),\"\",IF(M124>=L124,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},54.42,null,{"$f":"IF(ISNUMBER(O124),IF(ISBLANK(P124),\"\",IF(P124>=O124,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29200,"Strapping of chest",31.89,null,null,{"$f":"IF(ISNUMBER(C125),IF(OR(AND(ISBLANK(D125),ISBLANK(E125)),AND(D125=\"No\",ISBLANK(E125))),\"\",IF(AND(ISBLANK(D125),ISNUMBER(E125)),Lookup!$C$11,IF(AND(D125=\"Yes\",ISBLANK(E125)),Lookup!$C$12,IF(AND(D125=\"Yes\",E125>=C125),Lookup!$C$7,IF(AND(D125=\"No\",E125>=C125),Lookup!$C$8,IF(AND(D125=\"Yes\",E125<C125),Lookup!$C$9,IF(AND(D125=\"No\",E125<C125),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},31.89,null,null,{"$f":"IF(ISNUMBER(G125),IF(OR(AND(ISBLANK(H125),ISBLANK(I125)),AND(H125=\"No\",ISBLANK(I125))),\"\",IF(AND(ISBLANK(H125),ISNUMBER(I125)),Lookup!$C$11,IF(AND(H125=\"Yes\",ISBLANK(I125)),Lookup!$C$12,IF(AND(H125=\"Yes\",I125>=G125),Lookup!$C$7,IF(AND(H125=\"No\",I125>=G125),Lookup!$C$8,IF(AND(H125=\"Yes\",I125<G125),Lookup!$C$9,IF(AND(H125=\"No\",I125<G125),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,30.36,null,{"$f":"IF(ISNUMBER(L125),IF(ISBLANK(M125),\"\",IF(M125>=L125,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},30.36,null,{"$f":"IF(ISNUMBER(O125),IF(ISBLANK(P125),\"\",IF(P125>=O125,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29240,"Strapping of shoulder",29.58,null,null,{"$f":"IF(ISNUMBER(C126),IF(OR(AND(ISBLANK(D126),ISBLANK(E126)),AND(D126=\"No\",ISBLANK(E126))),\"\",IF(AND(ISBLANK(D126),ISNUMBER(E126)),Lookup!$C$11,IF(AND(D126=\"Yes\",ISBLANK(E126)),Lookup!$C$12,IF(AND(D126=\"Yes\",E126>=C126),Lookup!$C$7,IF(AND(D126=\"No\",E126>=C126),Lookup!$C$8,IF(AND(D126=\"Yes\",E126<C126),Lookup!$C$9,IF(AND(D126=\"No\",E126<C126),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},29.58,null,null,{"$f":"IF(ISNUMBER(G126),IF(OR(AND(ISBLANK(H126),ISBLANK(I126)),AND(H126=\"No\",ISBLANK(I126))),\"\",IF(AND(ISBLANK(H126),ISNUMBER(I126)),Lookup!$C$11,IF(AND(H126=\"Yes\",ISBLANK(I126)),Lookup!$C$12,IF(AND(H126=\"Yes\",I126>=G126),Lookup!$C$7,IF(AND(H126=\"No\",I126>=G126),Lookup!$C$8,IF(AND(H126=\"Yes\",I126<G126),Lookup!$C$9,IF(AND(H126=\"No\",I126<G126),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.44,null,{"$f":"IF(ISNUMBER(L126),IF(ISBLANK(M126),\"\",IF(M126>=L126,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.44,null,{"$f":"IF(ISNUMBER(O126),IF(ISBLANK(P126),\"\",IF(P126>=O126,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29260,"Strapping of elbow or wrist",28.91,null,null,{"$f":"IF(ISNUMBER(C127),IF(OR(AND(ISBLANK(D127),ISBLANK(E127)),AND(D127=\"No\",ISBLANK(E127))),\"\",IF(AND(ISBLANK(D127),ISNUMBER(E127)),Lookup!$C$11,IF(AND(D127=\"Yes\",ISBLANK(E127)),Lookup!$C$12,IF(AND(D127=\"Yes\",E127>=C127),Lookup!$C$7,IF(AND(D127=\"No\",E127>=C127),Lookup!$C$8,IF(AND(D127=\"Yes\",E127<C127),Lookup!$C$9,IF(AND(D127=\"No\",E127<C127),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},28.91,null,null,{"$f":"IF(ISNUMBER(G127),IF(OR(AND(ISBLANK(H127),ISBLANK(I127)),AND(H127=\"No\",ISBLANK(I127))),\"\",IF(AND(ISBLANK(H127),ISNUMBER(I127)),Lookup!$C$11,IF(AND(H127=\"Yes\",ISBLANK(I127)),Lookup!$C$12,IF(AND(H127=\"Yes\",I127>=G127),Lookup!$C$7,IF(AND(H127=\"No\",I127>=G127),Lookup!$C$8,IF(AND(H127=\"Yes\",I127<G127),Lookup!$C$9,IF(AND(H127=\"No\",I127<G127),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.09,null,{"$f":"IF(ISNUMBER(L127),IF(ISBLANK(M127),\"\",IF(M127>=L127,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.09,null,{"$f":"IF(ISNUMBER(O127),IF(ISBLANK(P127),\"\",IF(P127>=O127,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29280,"Strapping of hand or finger",29.87,null,null,{"$f":"IF(ISNUMBER(C128),IF(OR(AND(ISBLANK(D128),ISBLANK(E128)),AND(D128=\"No\",ISBLANK(E128))),\"\",IF(AND(ISBLANK(D128),ISNUMBER(E128)),Lookup!$C$11,IF(AND(D128=\"Yes\",ISBLANK(E128)),Lookup!$C$12,IF(AND(D128=\"Yes\",E128>=C128),Lookup!$C$7,IF(AND(D128=\"No\",E128>=C128),Lookup!$C$8,IF(AND(D128=\"Yes\",E128<C128),Lookup!$C$9,IF(AND(D128=\"No\",E128<C128),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},29.87,null,null,{"$f":"IF(ISNUMBER(G128),IF(OR(AND(ISBLANK(H128),ISBLANK(I128)),AND(H128=\"No\",ISBLANK(I128))),\"\",IF(AND(ISBLANK(H128),ISNUMBER(I128)),Lookup!$C$11,IF(AND(H128=\"Yes\",ISBLANK(I128)),Lookup!$C$12,IF(AND(H128=\"Yes\",I128>=G128),Lookup!$C$7,IF(AND(H128=\"No\",I128>=G128),Lookup!$C$8,IF(AND(H128=\"Yes\",I128<G128),Lookup!$C$9,IF(AND(H128=\"No\",I128<G128),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.72,null,{"$f":"IF(ISNUMBER(L128),IF(ISBLANK(M128),\"\",IF(M128>=L128,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.72,null,{"$f":"IF(ISNUMBER(O128),IF(ISBLANK(P128),\"\",IF(P128>=O128,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29505,"Application long leg splint",91.03,null,null,{"$f":"IF(ISNUMBER(C129),IF(OR(AND(ISBLANK(D129),ISBLANK(E129)),AND(D129=\"No\",ISBLANK(E129))),\"\",IF(AND(ISBLANK(D129),ISNUMBER(E129)),Lookup!$C$11,IF(AND(D129=\"Yes\",ISBLANK(E129)),Lookup!$C$12,IF(AND(D129=\"Yes\",E129>=C129),Lookup!$C$7,IF(AND(D129=\"No\",E129>=C129),Lookup!$C$8,IF(AND(D129=\"Yes\",E129<C129),Lookup!$C$9,IF(AND(D129=\"No\",E129<C129),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},91.03,null,null,{"$f":"IF(ISNUMBER(G129),IF(OR(AND(ISBLANK(H129),ISBLANK(I129)),AND(H129=\"No\",ISBLANK(I129))),\"\",IF(AND(ISBLANK(H129),ISNUMBER(I129)),Lookup!$C$11,IF(AND(H129=\"Yes\",ISBLANK(I129)),Lookup!$C$12,IF(AND(H129=\"Yes\",I129>=G129),Lookup!$C$7,IF(AND(H129=\"No\",I129>=G129),Lookup!$C$8,IF(AND(H129=\"Yes\",I129<G129),Lookup!$C$9,IF(AND(H129=\"No\",I129<G129),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,91.01,null,{"$f":"IF(ISNUMBER(L129),IF(ISBLANK(M129),\"\",IF(M129>=L129,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},91.01,null,{"$f":"IF(ISNUMBER(O129),IF(ISBLANK(P129),\"\",IF(P129>=O129,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29515,"Application lower leg splint",73.23,null,null,{"$f":"IF(ISNUMBER(C130),IF(OR(AND(ISBLANK(D130),ISBLANK(E130)),AND(D130=\"No\",ISBLANK(E130))),\"\",IF(AND(ISBLANK(D130),ISNUMBER(E130)),Lookup!$C$11,IF(AND(D130=\"Yes\",ISBLANK(E130)),Lookup!$C$12,IF(AND(D130=\"Yes\",E130>=C130),Lookup!$C$7,IF(AND(D130=\"No\",E130>=C130),Lookup!$C$8,IF(AND(D130=\"Yes\",E130<C130),Lookup!$C$9,IF(AND(D130=\"No\",E130<C130),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},73.23,null,null,{"$f":"IF(ISNUMBER(G130),IF(OR(AND(ISBLANK(H130),ISBLANK(I130)),AND(H130=\"No\",ISBLANK(I130))),\"\",IF(AND(ISBLANK(H130),ISNUMBER(I130)),Lookup!$C$11,IF(AND(H130=\"Yes\",ISBLANK(I130)),Lookup!$C$12,IF(AND(H130=\"Yes\",I130>=G130),Lookup!$C$7,IF(AND(H130=\"No\",I130>=G130),Lookup!$C$8,IF(AND(H130=\"Yes\",I130<G130),Lookup!$C$9,IF(AND(H130=\"No\",I130<G130),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,72.75,null,{"$f":"IF(ISNUMBER(L130),IF(ISBLANK(M130),\"\",IF(M130>=L130,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},72.75,null,{"$f":"IF(ISNUMBER(O130),IF(ISBLANK(P130),\"\",IF(P130>=O130,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29520,"Strapping of hip",34.53,null,null,{"$f":"IF(ISNUMBER(C131),IF(OR(AND(ISBLANK(D131),ISBLANK(E131)),AND(D131=\"No\",ISBLANK(E131))),\"\",IF(AND(ISBLANK(D131),ISNUMBER(E131)),Lookup!$C$11,IF(AND(D131=\"Yes\",ISBLANK(E131)),Lookup!$C$12,IF(AND(D131=\"Yes\",E131>=C131),Lookup!$C$7,IF(AND(D131=\"No\",E131>=C131),Lookup!$C$8,IF(AND(D131=\"Yes\",E131<C131),Lookup!$C$9,IF(AND(D131=\"No\",E131<C131),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},34.53,null,null,{"$f":"IF(ISNUMBER(G131),IF(OR(AND(ISBLANK(H131),ISBLANK(I131)),AND(H131=\"No\",ISBLANK(I131))),\"\",IF(AND(ISBLANK(H131),ISNUMBER(I131)),Lookup!$C$11,IF(AND(H131=\"Yes\",ISBLANK(I131)),Lookup!$C$12,IF(AND(H131=\"Yes\",I131>=G131),Lookup!$C$7,IF(AND(H131=\"No\",I131>=G131),Lookup!$C$8,IF(AND(H131=\"Yes\",I131<G131),Lookup!$C$9,IF(AND(H131=\"No\",I131<G131),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.24,null,{"$f":"IF(ISNUMBER(L131),IF(ISBLANK(M131),\"\",IF(M131>=L131,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.24,null,{"$f":"IF(ISNUMBER(O131),IF(ISBLANK(P131),\"\",IF(P131>=O131,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29530,"Strapping of knee",29.25,null,null,{"$f":"IF(ISNUMBER(C132),IF(OR(AND(ISBLANK(D132),ISBLANK(E132)),AND(D132=\"No\",ISBLANK(E132))),\"\",IF(AND(ISBLANK(D132),ISNUMBER(E132)),Lookup!$C$11,IF(AND(D132=\"Yes\",ISBLANK(E132)),Lookup!$C$12,IF(AND(D132=\"Yes\",E132>=C132),Lookup!$C$7,IF(AND(D132=\"No\",E132>=C132),Lookup!$C$8,IF(AND(D132=\"Yes\",E132<C132),Lookup!$C$9,IF(AND(D132=\"No\",E132<C132),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},29.25,null,null,{"$f":"IF(ISNUMBER(G132),IF(OR(AND(ISBLANK(H132),ISBLANK(I132)),AND(H132=\"No\",ISBLANK(I132))),\"\",IF(AND(ISBLANK(H132),ISNUMBER(I132)),Lookup!$C$11,IF(AND(H132=\"Yes\",ISBLANK(I132)),Lookup!$C$12,IF(AND(H132=\"Yes\",I132>=G132),Lookup!$C$7,IF(AND(H132=\"No\",I132>=G132),Lookup!$C$8,IF(AND(H132=\"Yes\",I132<G132),Lookup!$C$9,IF(AND(H132=\"No\",I132<G132),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.42,null,{"$f":"IF(ISNUMBER(L132),IF(ISBLANK(M132),\"\",IF(M132>=L132,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.42,null,{"$f":"IF(ISNUMBER(O132),IF(ISBLANK(P132),\"\",IF(P132>=O132,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29540,"Strapping of ankle and/or ft",27.92,null,null,{"$f":"IF(ISNUMBER(C133),IF(OR(AND(ISBLANK(D133),ISBLANK(E133)),AND(D133=\"No\",ISBLANK(E133))),\"\",IF(AND(ISBLANK(D133),ISNUMBER(E133)),Lookup!$C$11,IF(AND(D133=\"Yes\",ISBLANK(E133)),Lookup!$C$12,IF(AND(D133=\"Yes\",E133>=C133),Lookup!$C$7,IF(AND(D133=\"No\",E133>=C133),Lookup!$C$8,IF(AND(D133=\"Yes\",E133<C133),Lookup!$C$9,IF(AND(D133=\"No\",E133<C133),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},27.92,null,null,{"$f":"IF(ISNUMBER(G133),IF(OR(AND(ISBLANK(H133),ISBLANK(I133)),AND(H133=\"No\",ISBLANK(I133))),\"\",IF(AND(ISBLANK(H133),ISNUMBER(I133)),Lookup!$C$11,IF(AND(H133=\"Yes\",ISBLANK(I133)),Lookup!$C$12,IF(AND(H133=\"Yes\",I133>=G133),Lookup!$C$7,IF(AND(H133=\"No\",I133>=G133),Lookup!$C$8,IF(AND(H133=\"Yes\",I133<G133),Lookup!$C$9,IF(AND(H133=\"No\",I133<G133),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,27.45,null,{"$f":"IF(ISNUMBER(L133),IF(ISBLANK(M133),\"\",IF(M133>=L133,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},27.45,null,{"$f":"IF(ISNUMBER(O133),IF(ISBLANK(P133),\"\",IF(P133>=O133,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29550,"Strapping of toes",19.27,null,null,{"$f":"IF(ISNUMBER(C134),IF(OR(AND(ISBLANK(D134),ISBLANK(E134)),AND(D134=\"No\",ISBLANK(E134))),\"\",IF(AND(ISBLANK(D134),ISNUMBER(E134)),Lookup!$C$11,IF(AND(D134=\"Yes\",ISBLANK(E134)),Lookup!$C$12,IF(AND(D134=\"Yes\",E134>=C134),Lookup!$C$7,IF(AND(D134=\"No\",E134>=C134),Lookup!$C$8,IF(AND(D134=\"Yes\",E134<C134),Lookup!$C$9,IF(AND(D134=\"No\",E134<C134),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},19.27,null,null,{"$f":"IF(ISNUMBER(G134),IF(OR(AND(ISBLANK(H134),ISBLANK(I134)),AND(H134=\"No\",ISBLANK(I134))),\"\",IF(AND(ISBLANK(H134),ISNUMBER(I134)),Lookup!$C$11,IF(AND(H134=\"Yes\",ISBLANK(I134)),Lookup!$C$12,IF(AND(H134=\"Yes\",I134>=G134),Lookup!$C$7,IF(AND(H134=\"No\",I134>=G134),Lookup!$C$8,IF(AND(H134=\"Yes\",I134<G134),Lookup!$C$9,IF(AND(H134=\"No\",I134<G134),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,19.04,null,{"$f":"IF(ISNUMBER(L134),IF(ISBLANK(M134),\"\",IF(M134>=L134,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},19.04,null,{"$f":"IF(ISNUMBER(O134),IF(ISBLANK(P134),\"\",IF(P134>=O134,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29581,"Apply multlay comprs lwr leg",87.5,null,null,{"$f":"IF(ISNUMBER(C135),IF(OR(AND(ISBLANK(D135),ISBLANK(E135)),AND(D135=\"No\",ISBLANK(E135))),\"\",IF(AND(ISBLANK(D135),ISNUMBER(E135)),Lookup!$C$11,IF(AND(D135=\"Yes\",ISBLANK(E135)),Lookup!$C$12,IF(AND(D135=\"Yes\",E135>=C135),Lookup!$C$7,IF(AND(D135=\"No\",E135>=C135),Lookup!$C$8,IF(AND(D135=\"Yes\",E135<C135),Lookup!$C$9,IF(AND(D135=\"No\",E135<C135),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},87.5,null,null,{"$f":"IF(ISNUMBER(G135),IF(OR(AND(ISBLANK(H135),ISBLANK(I135)),AND(H135=\"No\",ISBLANK(I135))),\"\",IF(AND(ISBLANK(H135),ISNUMBER(I135)),Lookup!$C$11,IF(AND(H135=\"Yes\",ISBLANK(I135)),Lookup!$C$12,IF(AND(H135=\"Yes\",I135>=G135),Lookup!$C$7,IF(AND(H135=\"No\",I135>=G135),Lookup!$C$8,IF(AND(H135=\"Yes\",I135<G135),Lookup!$C$9,IF(AND(H135=\"No\",I135<G135),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,84.06,null,{"$f":"IF(ISNUMBER(L135),IF(ISBLANK(M135),\"\",IF(M135>=L135,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},84.06,null,{"$f":"IF(ISNUMBER(O135),IF(ISBLANK(P135),\"\",IF(P135>=O135,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[29584,"Appl multlay comprs arm/hand",79.430000000000007,null,null,{"$f":"IF(ISNUMBER(C136),IF(OR(AND(ISBLANK(D136),ISBLANK(E136)),AND(D136=\"No\",ISBLANK(E136))),\"\",IF(AND(ISBLANK(D136),ISNUMBER(E136)),Lookup!$C$11,IF(AND(D136=\"Yes\",ISBLANK(E136)),Lookup!$C$12,IF(AND(D136=\"Yes\",E136>=C136),Lookup!$C$7,IF(AND(D136=\"No\",E136>=C136),Lookup!$C$8,IF(AND(D136=\"Yes\",E136<C136),Lookup!$C$9,IF(AND(D136=\"No\",E136<C136),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},79.430000000000007,null,null,{"$f":"IF(ISNUMBER(G136),IF(OR(AND(ISBLANK(H136),ISBLANK(I136)),AND(H136=\"No\",ISBLANK(I136))),\"\",IF(AND(ISBLANK(H136),ISNUMBER(I136)),Lookup!$C$11,IF(AND(H136=\"Yes\",ISBLANK(I136)),Lookup!$C$12,IF(AND(H136=\"Yes\",I136>=G136),Lookup!$C$7,IF(AND(H136=\"No\",I136>=G136),Lookup!$C$8,IF(AND(H136=\"Yes\",I136<G136),Lookup!$C$9,IF(AND(H136=\"No\",I136<G136),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,75.260000000000005,null,{"$f":"IF(ISNUMBER(L136),IF(ISBLANK(M136),\"\",IF(M136>=L136,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},75.260000000000005,null,{"$f":"IF(ISNUMBER(O136),IF(ISBLANK(P136),\"\",IF(P136>=O136,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[30300,"Removal Foreign Body Intranasal Office Procedure",209.74,null,null,{"$f":"IF(ISNUMBER(C137),IF(OR(AND(ISBLANK(D137),ISBLANK(E137)),AND(D137=\"No\",ISBLANK(E137))),\"\",IF(AND(ISBLANK(D137),ISNUMBER(E137)),Lookup!$C$11,IF(AND(D137=\"Yes\",ISBLANK(E137)),Lookup!$C$12,IF(AND(D137=\"Yes\",E137>=C137),Lookup!$C$7,IF(AND(D137=\"No\",E137>=C137),Lookup!$C$8,IF(AND(D137=\"Yes\",E137<C137),Lookup!$C$9,IF(AND(D137=\"No\",E137<C137),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},209.74,null,null,{"$f":"IF(ISNUMBER(G137),IF(OR(AND(ISBLANK(H137),ISBLANK(I137)),AND(H137=\"No\",ISBLANK(I137))),\"\",IF(AND(ISBLANK(H137),ISNUMBER(I137)),Lookup!$C$11,IF(AND(H137=\"Yes\",ISBLANK(I137)),Lookup!$C$12,IF(AND(H137=\"Yes\",I137>=G137),Lookup!$C$7,IF(AND(H137=\"No\",I137>=G137),Lookup!$C$8,IF(AND(H137=\"Yes\",I137<G137),Lookup!$C$9,IF(AND(H137=\"No\",I137<G137),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,199.32,null,{"$f":"IF(ISNUMBER(L137),IF(ISBLANK(M137),\"\",IF(M137>=L137,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},199.32,null,{"$f":"IF(ISNUMBER(O137),IF(ISBLANK(P137),\"\",IF(P137>=O137,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[30901,"Control of nosebleed",155.55000000000001,null,null,{"$f":"IF(ISNUMBER(C138),IF(OR(AND(ISBLANK(D138),ISBLANK(E138)),AND(D138=\"No\",ISBLANK(E138))),\"\",IF(AND(ISBLANK(D138),ISNUMBER(E138)),Lookup!$C$11,IF(AND(D138=\"Yes\",ISBLANK(E138)),Lookup!$C$12,IF(AND(D138=\"Yes\",E138>=C138),Lookup!$C$7,IF(AND(D138=\"No\",E138>=C138),Lookup!$C$8,IF(AND(D138=\"Yes\",E138<C138),Lookup!$C$9,IF(AND(D138=\"No\",E138<C138),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},155.55000000000001,null,null,{"$f":"IF(ISNUMBER(G138),IF(OR(AND(ISBLANK(H138),ISBLANK(I138)),AND(H138=\"No\",ISBLANK(I138))),\"\",IF(AND(ISBLANK(H138),ISNUMBER(I138)),Lookup!$C$11,IF(AND(H138=\"Yes\",ISBLANK(I138)),Lookup!$C$12,IF(AND(H138=\"Yes\",I138>=G138),Lookup!$C$7,IF(AND(H138=\"No\",I138>=G138),Lookup!$C$8,IF(AND(H138=\"Yes\",I138<G138),Lookup!$C$9,IF(AND(H138=\"No\",I138<G138),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,150.19999999999999,null,{"$f":"IF(ISNUMBER(L138),IF(ISBLANK(M138),\"\",IF(M138>=L138,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},150.19999999999999,null,{"$f":"IF(ISNUMBER(O138),IF(ISBLANK(P138),\"\",IF(P138>=O138,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[30903,"Control of nosebleed",242.21,null,null,{"$f":"IF(ISNUMBER(C139),IF(OR(AND(ISBLANK(D139),ISBLANK(E139)),AND(D139=\"No\",ISBLANK(E139))),\"\",IF(AND(ISBLANK(D139),ISNUMBER(E139)),Lookup!$C$11,IF(AND(D139=\"Yes\",ISBLANK(E139)),Lookup!$C$12,IF(AND(D139=\"Yes\",E139>=C139),Lookup!$C$7,IF(AND(D139=\"No\",E139>=C139),Lookup!$C$8,IF(AND(D139=\"Yes\",E139<C139),Lookup!$C$9,IF(AND(D139=\"No\",E139<C139),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},242.21,null,null,{"$f":"IF(ISNUMBER(G139),IF(OR(AND(ISBLANK(H139),ISBLANK(I139)),AND(H139=\"No\",ISBLANK(I139))),\"\",IF(AND(ISBLANK(H139),ISNUMBER(I139)),Lookup!$C$11,IF(AND(H139=\"Yes\",ISBLANK(I139)),Lookup!$C$12,IF(AND(H139=\"Yes\",I139>=G139),Lookup!$C$7,IF(AND(H139=\"No\",I139>=G139),Lookup!$C$8,IF(AND(H139=\"Yes\",I139<G139),Lookup!$C$9,IF(AND(H139=\"No\",I139<G139),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,232.14,null,{"$f":"IF(ISNUMBER(L139),IF(ISBLANK(M139),\"\",IF(M139>=L139,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},232.14,null,{"$f":"IF(ISNUMBER(O139),IF(ISBLANK(P139),\"\",IF(P139>=O139,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[30905,"Control of nosebleed",347.67,null,null,{"$f":"IF(ISNUMBER(C140),IF(OR(AND(ISBLANK(D140),ISBLANK(E140)),AND(D140=\"No\",ISBLANK(E140))),\"\",IF(AND(ISBLANK(D140),ISNUMBER(E140)),Lookup!$C$11,IF(AND(D140=\"Yes\",ISBLANK(E140)),Lookup!$C$12,IF(AND(D140=\"Yes\",E140>=C140),Lookup!$C$7,IF(AND(D140=\"No\",E140>=C140),Lookup!$C$8,IF(AND(D140=\"Yes\",E140<C140),Lookup!$C$9,IF(AND(D140=\"No\",E140<C140),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},347.67,null,null,{"$f":"IF(ISNUMBER(G140),IF(OR(AND(ISBLANK(H140),ISBLANK(I140)),AND(H140=\"No\",ISBLANK(I140))),\"\",IF(AND(ISBLANK(H140),ISNUMBER(I140)),Lookup!$C$11,IF(AND(H140=\"Yes\",ISBLANK(I140)),Lookup!$C$12,IF(AND(H140=\"Yes\",I140>=G140),Lookup!$C$7,IF(AND(H140=\"No\",I140>=G140),Lookup!$C$8,IF(AND(H140=\"Yes\",I140<G140),Lookup!$C$9,IF(AND(H140=\"No\",I140<G140),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,333.01,null,{"$f":"IF(ISNUMBER(L140),IF(ISBLANK(M140),\"\",IF(M140>=L140,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},333.01,null,{"$f":"IF(ISNUMBER(O140),IF(ISBLANK(P140),\"\",IF(P140>=O140,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[30906,"Repeat control of nosebleed",373.29,null,null,{"$f":"IF(ISNUMBER(C141),IF(OR(AND(ISBLANK(D141),ISBLANK(E141)),AND(D141=\"No\",ISBLANK(E141))),\"\",IF(AND(ISBLANK(D141),ISNUMBER(E141)),Lookup!$C$11,IF(AND(D141=\"Yes\",ISBLANK(E141)),Lookup!$C$12,IF(AND(D141=\"Yes\",E141>=C141),Lookup!$C$7,IF(AND(D141=\"No\",E141>=C141),Lookup!$C$8,IF(AND(D141=\"Yes\",E141<C141),Lookup!$C$9,IF(AND(D141=\"No\",E141<C141),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},373.29,null,null,{"$f":"IF(ISNUMBER(G141),IF(OR(AND(ISBLANK(H141),ISBLANK(I141)),AND(H141=\"No\",ISBLANK(I141))),\"\",IF(AND(ISBLANK(H141),ISNUMBER(I141)),Lookup!$C$11,IF(AND(H141=\"Yes\",ISBLANK(I141)),Lookup!$C$12,IF(AND(H141=\"Yes\",I141>=G141),Lookup!$C$7,IF(AND(H141=\"No\",I141>=G141),Lookup!$C$8,IF(AND(H141=\"Yes\",I141<G141),Lookup!$C$9,IF(AND(H141=\"No\",I141<G141),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,362.7,null,{"$f":"IF(ISNUMBER(L141),IF(ISBLANK(M141),\"\",IF(M141>=L141,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},362.7,null,{"$f":"IF(ISNUMBER(O141),IF(ISBLANK(P141),\"\",IF(P141>=O141,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[36410,"Non-routine bl draw 3/> yrs",17.57,null,null,{"$f":"IF(ISNUMBER(C142),IF(OR(AND(ISBLANK(D142),ISBLANK(E142)),AND(D142=\"No\",ISBLANK(E142))),\"\",IF(AND(ISBLANK(D142),ISNUMBER(E142)),Lookup!$C$11,IF(AND(D142=\"Yes\",ISBLANK(E142)),Lookup!$C$12,IF(AND(D142=\"Yes\",E142>=C142),Lookup!$C$7,IF(AND(D142=\"No\",E142>=C142),Lookup!$C$8,IF(AND(D142=\"Yes\",E142<C142),Lookup!$C$9,IF(AND(D142=\"No\",E142<C142),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},17.57,null,null,{"$f":"IF(ISNUMBER(G142),IF(OR(AND(ISBLANK(H142),ISBLANK(I142)),AND(H142=\"No\",ISBLANK(I142))),\"\",IF(AND(ISBLANK(H142),ISNUMBER(I142)),Lookup!$C$11,IF(AND(H142=\"Yes\",ISBLANK(I142)),Lookup!$C$12,IF(AND(H142=\"Yes\",I142>=G142),Lookup!$C$7,IF(AND(H142=\"No\",I142>=G142),Lookup!$C$8,IF(AND(H142=\"Yes\",I142<G142),Lookup!$C$9,IF(AND(H142=\"No\",I142<G142),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.399999999999999,null,{"$f":"IF(ISNUMBER(L142),IF(ISBLANK(M142),\"\",IF(M142>=L142,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.399999999999999,null,{"$f":"IF(ISNUMBER(O142),IF(ISBLANK(P142),\"\",IF(P142>=O142,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[36415,"Routine Venipuncture","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C143),IF(OR(AND(ISBLANK(D143),ISBLANK(E143)),AND(D143=\"No\",ISBLANK(E143))),\"\",IF(AND(ISBLANK(D143),ISNUMBER(E143)),Lookup!$C$11,IF(AND(D143=\"Yes\",ISBLANK(E143)),Lookup!$C$12,IF(AND(D143=\"Yes\",E143>=C143),Lookup!$C$7,IF(AND(D143=\"No\",E143>=C143),Lookup!$C$8,IF(AND(D143=\"Yes\",E143<C143),Lookup!$C$9,IF(AND(D143=\"No\",E143<C143),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G143),IF(OR(AND(ISBLANK(H143),ISBLANK(I143)),AND(H143=\"No\",ISBLANK(I143))),\"\",IF(AND(ISBLANK(H143),ISNUMBER(I143)),Lookup!$C$11,IF(AND(H143=\"Yes\",ISBLANK(I143)),Lookup!$C$12,IF(AND(H143=\"Yes\",I143>=G143),Lookup!$C$7,IF(AND(H143=\"No\",I143>=G143),Lookup!$C$8,IF(AND(H143=\"Yes\",I143<G143),Lookup!$C$9,IF(AND(H143=\"No\",I143<G143),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L143),IF(ISBLANK(M143),\"\",IF(M143>=L143,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O143),IF(ISBLANK(P143),\"\",IF(P143>=O143,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[36416,"Non-routine bl draw 3/> yrs","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C144),IF(OR(AND(ISBLANK(D144),ISBLANK(E144)),AND(D144=\"No\",ISBLANK(E144))),\"\",IF(AND(ISBLANK(D144),ISNUMBER(E144)),Lookup!$C$11,IF(AND(D144=\"Yes\",ISBLANK(E144)),Lookup!$C$12,IF(AND(D144=\"Yes\",E144>=C144),Lookup!$C$7,IF(AND(D144=\"No\",E144>=C144),Lookup!$C$8,IF(AND(D144=\"Yes\",E144<C144),Lookup!$C$9,IF(AND(D144=\"No\",E144<C144),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G144),IF(OR(AND(ISBLANK(H144),ISBLANK(I144)),AND(H144=\"No\",ISBLANK(I144))),\"\",IF(AND(ISBLANK(H144),ISNUMBER(I144)),Lookup!$C$11,IF(AND(H144=\"Yes\",ISBLANK(I144)),Lookup!$C$12,IF(AND(H144=\"Yes\",I144>=G144),Lookup!$C$7,IF(AND(H144=\"No\",I144>=G144),Lookup!$C$8,IF(AND(H144=\"Yes\",I144<G144),Lookup!$C$9,IF(AND(H144=\"No\",I144<G144),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L144),IF(ISBLANK(M144),\"\",IF(M144>=L144,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O144),IF(ISBLANK(P144),\"\",IF(P144>=O144,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[40804,"Removal foreign body mouth",188.74,null,null,{"$f":"IF(ISNUMBER(C145),IF(OR(AND(ISBLANK(D145),ISBLANK(E145)),AND(D145=\"No\",ISBLANK(E145))),\"\",IF(AND(ISBLANK(D145),ISNUMBER(E145)),Lookup!$C$11,IF(AND(D145=\"Yes\",ISBLANK(E145)),Lookup!$C$12,IF(AND(D145=\"Yes\",E145>=C145),Lookup!$C$7,IF(AND(D145=\"No\",E145>=C145),Lookup!$C$8,IF(AND(D145=\"Yes\",E145<C145),Lookup!$C$9,IF(AND(D145=\"No\",E145<C145),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},188.74,null,null,{"$f":"IF(ISNUMBER(G145),IF(OR(AND(ISBLANK(H145),ISBLANK(I145)),AND(H145=\"No\",ISBLANK(I145))),\"\",IF(AND(ISBLANK(H145),ISNUMBER(I145)),Lookup!$C$11,IF(AND(H145=\"Yes\",ISBLANK(I145)),Lookup!$C$12,IF(AND(H145=\"Yes\",I145>=G145),Lookup!$C$7,IF(AND(H145=\"No\",I145>=G145),Lookup!$C$8,IF(AND(H145=\"Yes\",I145<G145),Lookup!$C$9,IF(AND(H145=\"No\",I145<G145),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,190.44,null,{"$f":"IF(ISNUMBER(L145),IF(ISBLANK(M145),\"\",IF(M145>=L145,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},190.44,null,{"$f":"IF(ISNUMBER(O145),IF(ISBLANK(P145),\"\",IF(P145>=O145,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[40805,"Removal foreign body mouth",283.54000000000002,null,null,{"$f":"IF(ISNUMBER(C146),IF(OR(AND(ISBLANK(D146),ISBLANK(E146)),AND(D146=\"No\",ISBLANK(E146))),\"\",IF(AND(ISBLANK(D146),ISNUMBER(E146)),Lookup!$C$11,IF(AND(D146=\"Yes\",ISBLANK(E146)),Lookup!$C$12,IF(AND(D146=\"Yes\",E146>=C146),Lookup!$C$7,IF(AND(D146=\"No\",E146>=C146),Lookup!$C$8,IF(AND(D146=\"Yes\",E146<C146),Lookup!$C$9,IF(AND(D146=\"No\",E146<C146),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},283.54000000000002,null,null,{"$f":"IF(ISNUMBER(G146),IF(OR(AND(ISBLANK(H146),ISBLANK(I146)),AND(H146=\"No\",ISBLANK(I146))),\"\",IF(AND(ISBLANK(H146),ISNUMBER(I146)),Lookup!$C$11,IF(AND(H146=\"Yes\",ISBLANK(I146)),Lookup!$C$12,IF(AND(H146=\"Yes\",I146>=G146),Lookup!$C$7,IF(AND(H146=\"No\",I146>=G146),Lookup!$C$8,IF(AND(H146=\"Yes\",I146<G146),Lookup!$C$9,IF(AND(H146=\"No\",I146<G146),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,278.72000000000003,null,{"$f":"IF(ISNUMBER(L146),IF(ISBLANK(M146),\"\",IF(M146>=L146,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},278.72000000000003,null,{"$f":"IF(ISNUMBER(O146),IF(ISBLANK(P146),\"\",IF(P146>=O146,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[46600,"Diagnostic anoscopy spx",117.08,null,null,{"$f":"IF(ISNUMBER(C147),IF(OR(AND(ISBLANK(D147),ISBLANK(E147)),AND(D147=\"No\",ISBLANK(E147))),\"\",IF(AND(ISBLANK(D147),ISNUMBER(E147)),Lookup!$C$11,IF(AND(D147=\"Yes\",ISBLANK(E147)),Lookup!$C$12,IF(AND(D147=\"Yes\",E147>=C147),Lookup!$C$7,IF(AND(D147=\"No\",E147>=C147),Lookup!$C$8,IF(AND(D147=\"Yes\",E147<C147),Lookup!$C$9,IF(AND(D147=\"No\",E147<C147),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},117.08,null,null,{"$f":"IF(ISNUMBER(G147),IF(OR(AND(ISBLANK(H147),ISBLANK(I147)),AND(H147=\"No\",ISBLANK(I147))),\"\",IF(AND(ISBLANK(H147),ISNUMBER(I147)),Lookup!$C$11,IF(AND(H147=\"Yes\",ISBLANK(I147)),Lookup!$C$12,IF(AND(H147=\"Yes\",I147>=G147),Lookup!$C$7,IF(AND(H147=\"No\",I147>=G147),Lookup!$C$8,IF(AND(H147=\"Yes\",I147<G147),Lookup!$C$9,IF(AND(H147=\"No\",I147<G147),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,110.25,null,{"$f":"IF(ISNUMBER(L147),IF(ISBLANK(M147),\"\",IF(M147>=L147,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},110.25,null,{"$f":"IF(ISNUMBER(O147),IF(ISBLANK(P147),\"\",IF(P147>=O147,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[51702,"Insert temp bladder cath",61.95,null,null,{"$f":"IF(ISNUMBER(C148),IF(OR(AND(ISBLANK(D148),ISBLANK(E148)),AND(D148=\"No\",ISBLANK(E148))),\"\",IF(AND(ISBLANK(D148),ISNUMBER(E148)),Lookup!$C$11,IF(AND(D148=\"Yes\",ISBLANK(E148)),Lookup!$C$12,IF(AND(D148=\"Yes\",E148>=C148),Lookup!$C$7,IF(AND(D148=\"No\",E148>=C148),Lookup!$C$8,IF(AND(D148=\"Yes\",E148<C148),Lookup!$C$9,IF(AND(D148=\"No\",E148<C148),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},61.95,null,null,{"$f":"IF(ISNUMBER(G148),IF(OR(AND(ISBLANK(H148),ISBLANK(I148)),AND(H148=\"No\",ISBLANK(I148))),\"\",IF(AND(ISBLANK(H148),ISNUMBER(I148)),Lookup!$C$11,IF(AND(H148=\"Yes\",ISBLANK(I148)),Lookup!$C$12,IF(AND(H148=\"Yes\",I148>=G148),Lookup!$C$7,IF(AND(H148=\"No\",I148>=G148),Lookup!$C$8,IF(AND(H148=\"Yes\",I148<G148),Lookup!$C$9,IF(AND(H148=\"No\",I148<G148),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,59.57,null,{"$f":"IF(ISNUMBER(L148),IF(ISBLANK(M148),\"\",IF(M148>=L148,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},59.57,null,{"$f":"IF(ISNUMBER(O148),IF(ISBLANK(P148),\"\",IF(P148>=O148,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[51798,"Us urine capacity measure",11.21,null,null,{"$f":"IF(ISNUMBER(C149),IF(OR(AND(ISBLANK(D149),ISBLANK(E149)),AND(D149=\"No\",ISBLANK(E149))),\"\",IF(AND(ISBLANK(D149),ISNUMBER(E149)),Lookup!$C$11,IF(AND(D149=\"Yes\",ISBLANK(E149)),Lookup!$C$12,IF(AND(D149=\"Yes\",E149>=C149),Lookup!$C$7,IF(AND(D149=\"No\",E149>=C149),Lookup!$C$8,IF(AND(D149=\"Yes\",E149<C149),Lookup!$C$9,IF(AND(D149=\"No\",E149<C149),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},11.21,null,null,{"$f":"IF(ISNUMBER(G149),IF(OR(AND(ISBLANK(H149),ISBLANK(I149)),AND(H149=\"No\",ISBLANK(I149))),\"\",IF(AND(ISBLANK(H149),ISNUMBER(I149)),Lookup!$C$11,IF(AND(H149=\"Yes\",ISBLANK(I149)),Lookup!$C$12,IF(AND(H149=\"Yes\",I149>=G149),Lookup!$C$7,IF(AND(H149=\"No\",I149>=G149),Lookup!$C$8,IF(AND(H149=\"Yes\",I149<G149),Lookup!$C$9,IF(AND(H149=\"No\",I149<G149),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.2,null,{"$f":"IF(ISNUMBER(L149),IF(ISBLANK(M149),\"\",IF(M149>=L149,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.2,null,{"$f":"IF(ISNUMBER(O149),IF(ISBLANK(P149),\"\",IF(P149>=O149,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[69200,"Clear Outer Ear Canal W/Out Anesthesia ",80.19,null,null,{"$f":"IF(ISNUMBER(C150),IF(OR(AND(ISBLANK(D150),ISBLANK(E150)),AND(D150=\"No\",ISBLANK(E150))),\"\",IF(AND(ISBLANK(D150),ISNUMBER(E150)),Lookup!$C$11,IF(AND(D150=\"Yes\",ISBLANK(E150)),Lookup!$C$12,IF(AND(D150=\"Yes\",E150>=C150),Lookup!$C$7,IF(AND(D150=\"No\",E150>=C150),Lookup!$C$8,IF(AND(D150=\"Yes\",E150<C150),Lookup!$C$9,IF(AND(D150=\"No\",E150<C150),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},80.19,null,null,{"$f":"IF(ISNUMBER(G150),IF(OR(AND(ISBLANK(H150),ISBLANK(I150)),AND(H150=\"No\",ISBLANK(I150))),\"\",IF(AND(ISBLANK(H150),ISNUMBER(I150)),Lookup!$C$11,IF(AND(H150=\"Yes\",ISBLANK(I150)),Lookup!$C$12,IF(AND(H150=\"Yes\",I150>=G150),Lookup!$C$7,IF(AND(H150=\"No\",I150>=G150),Lookup!$C$8,IF(AND(H150=\"Yes\",I150<G150),Lookup!$C$9,IF(AND(H150=\"No\",I150<G150),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,77.91,null,{"$f":"IF(ISNUMBER(L150),IF(ISBLANK(M150),\"\",IF(M150>=L150,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},77.91,null,{"$f":"IF(ISNUMBER(O150),IF(ISBLANK(P150),\"\",IF(P150>=O150,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[69209,"Remove Impacted Ear Wax Irrigation ",15.84,null,null,{"$f":"IF(ISNUMBER(C151),IF(OR(AND(ISBLANK(D151),ISBLANK(E151)),AND(D151=\"No\",ISBLANK(E151))),\"\",IF(AND(ISBLANK(D151),ISNUMBER(E151)),Lookup!$C$11,IF(AND(D151=\"Yes\",ISBLANK(E151)),Lookup!$C$12,IF(AND(D151=\"Yes\",E151>=C151),Lookup!$C$7,IF(AND(D151=\"No\",E151>=C151),Lookup!$C$8,IF(AND(D151=\"Yes\",E151<C151),Lookup!$C$9,IF(AND(D151=\"No\",E151<C151),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},15.84,null,null,{"$f":"IF(ISNUMBER(G151),IF(OR(AND(ISBLANK(H151),ISBLANK(I151)),AND(H151=\"No\",ISBLANK(I151))),\"\",IF(AND(ISBLANK(H151),ISNUMBER(I151)),Lookup!$C$11,IF(AND(H151=\"Yes\",ISBLANK(I151)),Lookup!$C$12,IF(AND(H151=\"Yes\",I151>=G151),Lookup!$C$7,IF(AND(H151=\"No\",I151>=G151),Lookup!$C$8,IF(AND(H151=\"Yes\",I151<G151),Lookup!$C$9,IF(AND(H151=\"No\",I151<G151),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,15.07,null,{"$f":"IF(ISNUMBER(L151),IF(ISBLANK(M151),\"\",IF(M151>=L151,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},15.07,null,{"$f":"IF(ISNUMBER(O151),IF(ISBLANK(P151),\"\",IF(P151>=O151,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[69210,"Remove Impacted Ear Wax Instruments ",47.78,null,null,{"$f":"IF(ISNUMBER(C152),IF(OR(AND(ISBLANK(D152),ISBLANK(E152)),AND(D152=\"No\",ISBLANK(E152))),\"\",IF(AND(ISBLANK(D152),ISNUMBER(E152)),Lookup!$C$11,IF(AND(D152=\"Yes\",ISBLANK(E152)),Lookup!$C$12,IF(AND(D152=\"Yes\",E152>=C152),Lookup!$C$7,IF(AND(D152=\"No\",E152>=C152),Lookup!$C$8,IF(AND(D152=\"Yes\",E152<C152),Lookup!$C$9,IF(AND(D152=\"No\",E152<C152),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},47.78,null,null,{"$f":"IF(ISNUMBER(G152),IF(OR(AND(ISBLANK(H152),ISBLANK(I152)),AND(H152=\"No\",ISBLANK(I152))),\"\",IF(AND(ISBLANK(H152),ISNUMBER(I152)),Lookup!$C$11,IF(AND(H152=\"Yes\",ISBLANK(I152)),Lookup!$C$12,IF(AND(H152=\"Yes\",I152>=G152),Lookup!$C$7,IF(AND(H152=\"No\",I152>=G152),Lookup!$C$8,IF(AND(H152=\"Yes\",I152<G152),Lookup!$C$9,IF(AND(H152=\"No\",I152<G152),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,46.44,null,{"$f":"IF(ISNUMBER(L152),IF(ISBLANK(M152),\"\",IF(M152>=L152,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},46.44,null,{"$f":"IF(ISNUMBER(O152),IF(ISBLANK(P152),\"\",IF(P152>=O152,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[81000,"Urinalysis Dip Stick/Tablet Reagnt Non-Auto Micrscpy","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C153),IF(OR(AND(ISBLANK(D153),ISBLANK(E153)),AND(D153=\"No\",ISBLANK(E153))),\"\",IF(AND(ISBLANK(D153),ISNUMBER(E153)),Lookup!$C$11,IF(AND(D153=\"Yes\",ISBLANK(E153)),Lookup!$C$12,IF(AND(D153=\"Yes\",E153>=C153),Lookup!$C$7,IF(AND(D153=\"No\",E153>=C153),Lookup!$C$8,IF(AND(D153=\"Yes\",E153<C153),Lookup!$C$9,IF(AND(D153=\"No\",E153<C153),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G153),IF(OR(AND(ISBLANK(H153),ISBLANK(I153)),AND(H153=\"No\",ISBLANK(I153))),\"\",IF(AND(ISBLANK(H153),ISNUMBER(I153)),Lookup!$C$11,IF(AND(H153=\"Yes\",ISBLANK(I153)),Lookup!$C$12,IF(AND(H153=\"Yes\",I153>=G153),Lookup!$C$7,IF(AND(H153=\"No\",I153>=G153),Lookup!$C$8,IF(AND(H153=\"Yes\",I153<G153),Lookup!$C$9,IF(AND(H153=\"No\",I153<G153),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L153),IF(ISBLANK(M153),\"\",IF(M153>=L153,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O153),IF(ISBLANK(P153),\"\",IF(P153>=O153,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[81001,"Urinalysis Dip Stick/Tablet Reagent Auto Microscopy","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C154),IF(OR(AND(ISBLANK(D154),ISBLANK(E154)),AND(D154=\"No\",ISBLANK(E154))),\"\",IF(AND(ISBLANK(D154),ISNUMBER(E154)),Lookup!$C$11,IF(AND(D154=\"Yes\",ISBLANK(E154)),Lookup!$C$12,IF(AND(D154=\"Yes\",E154>=C154),Lookup!$C$7,IF(AND(D154=\"No\",E154>=C154),Lookup!$C$8,IF(AND(D154=\"Yes\",E154<C154),Lookup!$C$9,IF(AND(D154=\"No\",E154<C154),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G154),IF(OR(AND(ISBLANK(H154),ISBLANK(I154)),AND(H154=\"No\",ISBLANK(I154))),\"\",IF(AND(ISBLANK(H154),ISNUMBER(I154)),Lookup!$C$11,IF(AND(H154=\"Yes\",ISBLANK(I154)),Lookup!$C$12,IF(AND(H154=\"Yes\",I154>=G154),Lookup!$C$7,IF(AND(H154=\"No\",I154>=G154),Lookup!$C$8,IF(AND(H154=\"Yes\",I154<G154),Lookup!$C$9,IF(AND(H154=\"No\",I154<G154),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L154),IF(ISBLANK(M154),\"\",IF(M154>=L154,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O154),IF(ISBLANK(P154),\"\",IF(P154>=O154,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[81025,"Urine Pregnancy Test Visual Color Comparison","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C155),IF(OR(AND(ISBLANK(D155),ISBLANK(E155)),AND(D155=\"No\",ISBLANK(E155))),\"\",IF(AND(ISBLANK(D155),ISNUMBER(E155)),Lookup!$C$11,IF(AND(D155=\"Yes\",ISBLANK(E155)),Lookup!$C$12,IF(AND(D155=\"Yes\",E155>=C155),Lookup!$C$7,IF(AND(D155=\"No\",E155>=C155),Lookup!$C$8,IF(AND(D155=\"Yes\",E155<C155),Lookup!$C$9,IF(AND(D155=\"No\",E155<C155),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G155),IF(OR(AND(ISBLANK(H155),ISBLANK(I155)),AND(H155=\"No\",ISBLANK(I155))),\"\",IF(AND(ISBLANK(H155),ISNUMBER(I155)),Lookup!$C$11,IF(AND(H155=\"Yes\",ISBLANK(I155)),Lookup!$C$12,IF(AND(H155=\"Yes\",I155>=G155),Lookup!$C$7,IF(AND(H155=\"No\",I155>=G155),Lookup!$C$8,IF(AND(H155=\"Yes\",I155<G155),Lookup!$C$9,IF(AND(H155=\"No\",I155<G155),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L155),IF(ISBLANK(M155),\"\",IF(M155>=L155,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O155),IF(ISBLANK(P155),\"\",IF(P155>=O155,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82044,"Urine Albumin Semiquantitative","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C156),IF(OR(AND(ISBLANK(D156),ISBLANK(E156)),AND(D156=\"No\",ISBLANK(E156))),\"\",IF(AND(ISBLANK(D156),ISNUMBER(E156)),Lookup!$C$11,IF(AND(D156=\"Yes\",ISBLANK(E156)),Lookup!$C$12,IF(AND(D156=\"Yes\",E156>=C156),Lookup!$C$7,IF(AND(D156=\"No\",E156>=C156),Lookup!$C$8,IF(AND(D156=\"Yes\",E156<C156),Lookup!$C$9,IF(AND(D156=\"No\",E156<C156),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G156),IF(OR(AND(ISBLANK(H156),ISBLANK(I156)),AND(H156=\"No\",ISBLANK(I156))),\"\",IF(AND(ISBLANK(H156),ISNUMBER(I156)),Lookup!$C$11,IF(AND(H156=\"Yes\",ISBLANK(I156)),Lookup!$C$12,IF(AND(H156=\"Yes\",I156>=G156),Lookup!$C$7,IF(AND(H156=\"No\",I156>=G156),Lookup!$C$8,IF(AND(H156=\"Yes\",I156<G156),Lookup!$C$9,IF(AND(H156=\"No\",I156<G156),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L156),IF(ISBLANK(M156),\"\",IF(M156>=L156,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O156),IF(ISBLANK(P156),\"\",IF(P156>=O156,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82270,"Blood Occult Peroxidase Actv Qual Feces 1 Determination","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C157),IF(OR(AND(ISBLANK(D157),ISBLANK(E157)),AND(D157=\"No\",ISBLANK(E157))),\"\",IF(AND(ISBLANK(D157),ISNUMBER(E157)),Lookup!$C$11,IF(AND(D157=\"Yes\",ISBLANK(E157)),Lookup!$C$12,IF(AND(D157=\"Yes\",E157>=C157),Lookup!$C$7,IF(AND(D157=\"No\",E157>=C157),Lookup!$C$8,IF(AND(D157=\"Yes\",E157<C157),Lookup!$C$9,IF(AND(D157=\"No\",E157<C157),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G157),IF(OR(AND(ISBLANK(H157),ISBLANK(I157)),AND(H157=\"No\",ISBLANK(I157))),\"\",IF(AND(ISBLANK(H157),ISNUMBER(I157)),Lookup!$C$11,IF(AND(H157=\"Yes\",ISBLANK(I157)),Lookup!$C$12,IF(AND(H157=\"Yes\",I157>=G157),Lookup!$C$7,IF(AND(H157=\"No\",I157>=G157),Lookup!$C$8,IF(AND(H157=\"Yes\",I157<G157),Lookup!$C$9,IF(AND(H157=\"No\",I157<G157),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L157),IF(ISBLANK(M157),\"\",IF(M157>=L157,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O157),IF(ISBLANK(P157),\"\",IF(P157>=O157,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82272,"Blood Occult Peroxidase Actv Qual Feces 1-3 Spec Determination","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C158),IF(OR(AND(ISBLANK(D158),ISBLANK(E158)),AND(D158=\"No\",ISBLANK(E158))),\"\",IF(AND(ISBLANK(D158),ISNUMBER(E158)),Lookup!$C$11,IF(AND(D158=\"Yes\",ISBLANK(E158)),Lookup!$C$12,IF(AND(D158=\"Yes\",E158>=C158),Lookup!$C$7,IF(AND(D158=\"No\",E158>=C158),Lookup!$C$8,IF(AND(D158=\"Yes\",E158<C158),Lookup!$C$9,IF(AND(D158=\"No\",E158<C158),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G158),IF(OR(AND(ISBLANK(H158),ISBLANK(I158)),AND(H158=\"No\",ISBLANK(I158))),\"\",IF(AND(ISBLANK(H158),ISNUMBER(I158)),Lookup!$C$11,IF(AND(H158=\"Yes\",ISBLANK(I158)),Lookup!$C$12,IF(AND(H158=\"Yes\",I158>=G158),Lookup!$C$7,IF(AND(H158=\"No\",I158>=G158),Lookup!$C$8,IF(AND(H158=\"Yes\",I158<G158),Lookup!$C$9,IF(AND(H158=\"No\",I158<G158),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L158),IF(ISBLANK(M158),\"\",IF(M158>=L158,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O158),IF(ISBLANK(P158),\"\",IF(P158>=O158,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82465,"Cholesterol Serum/Whole Blood Total","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C159),IF(OR(AND(ISBLANK(D159),ISBLANK(E159)),AND(D159=\"No\",ISBLANK(E159))),\"\",IF(AND(ISBLANK(D159),ISNUMBER(E159)),Lookup!$C$11,IF(AND(D159=\"Yes\",ISBLANK(E159)),Lookup!$C$12,IF(AND(D159=\"Yes\",E159>=C159),Lookup!$C$7,IF(AND(D159=\"No\",E159>=C159),Lookup!$C$8,IF(AND(D159=\"Yes\",E159<C159),Lookup!$C$9,IF(AND(D159=\"No\",E159<C159),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G159),IF(OR(AND(ISBLANK(H159),ISBLANK(I159)),AND(H159=\"No\",ISBLANK(I159))),\"\",IF(AND(ISBLANK(H159),ISNUMBER(I159)),Lookup!$C$11,IF(AND(H159=\"Yes\",ISBLANK(I159)),Lookup!$C$12,IF(AND(H159=\"Yes\",I159>=G159),Lookup!$C$7,IF(AND(H159=\"No\",I159>=G159),Lookup!$C$8,IF(AND(H159=\"Yes\",I159<G159),Lookup!$C$9,IF(AND(H159=\"No\",I159<G159),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L159),IF(ISBLANK(M159),\"\",IF(M159>=L159,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O159),IF(ISBLANK(P159),\"\",IF(P159>=O159,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82947,"Glucose Quantitative Blood Xcpt Reagent Strip","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C160),IF(OR(AND(ISBLANK(D160),ISBLANK(E160)),AND(D160=\"No\",ISBLANK(E160))),\"\",IF(AND(ISBLANK(D160),ISNUMBER(E160)),Lookup!$C$11,IF(AND(D160=\"Yes\",ISBLANK(E160)),Lookup!$C$12,IF(AND(D160=\"Yes\",E160>=C160),Lookup!$C$7,IF(AND(D160=\"No\",E160>=C160),Lookup!$C$8,IF(AND(D160=\"Yes\",E160<C160),Lookup!$C$9,IF(AND(D160=\"No\",E160<C160),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G160),IF(OR(AND(ISBLANK(H160),ISBLANK(I160)),AND(H160=\"No\",ISBLANK(I160))),\"\",IF(AND(ISBLANK(H160),ISNUMBER(I160)),Lookup!$C$11,IF(AND(H160=\"Yes\",ISBLANK(I160)),Lookup!$C$12,IF(AND(H160=\"Yes\",I160>=G160),Lookup!$C$7,IF(AND(H160=\"No\",I160>=G160),Lookup!$C$8,IF(AND(H160=\"Yes\",I160<G160),Lookup!$C$9,IF(AND(H160=\"No\",I160<G160),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L160),IF(ISBLANK(M160),\"\",IF(M160>=L160,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O160),IF(ISBLANK(P160),\"\",IF(P160>=O160,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82948,"Glucose Blood Reagent Strip","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C161),IF(OR(AND(ISBLANK(D161),ISBLANK(E161)),AND(D161=\"No\",ISBLANK(E161))),\"\",IF(AND(ISBLANK(D161),ISNUMBER(E161)),Lookup!$C$11,IF(AND(D161=\"Yes\",ISBLANK(E161)),Lookup!$C$12,IF(AND(D161=\"Yes\",E161>=C161),Lookup!$C$7,IF(AND(D161=\"No\",E161>=C161),Lookup!$C$8,IF(AND(D161=\"Yes\",E161<C161),Lookup!$C$9,IF(AND(D161=\"No\",E161<C161),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G161),IF(OR(AND(ISBLANK(H161),ISBLANK(I161)),AND(H161=\"No\",ISBLANK(I161))),\"\",IF(AND(ISBLANK(H161),ISNUMBER(I161)),Lookup!$C$11,IF(AND(H161=\"Yes\",ISBLANK(I161)),Lookup!$C$12,IF(AND(H161=\"Yes\",I161>=G161),Lookup!$C$7,IF(AND(H161=\"No\",I161>=G161),Lookup!$C$8,IF(AND(H161=\"Yes\",I161<G161),Lookup!$C$9,IF(AND(H161=\"No\",I161<G161),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L161),IF(ISBLANK(M161),\"\",IF(M161>=L161,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O161),IF(ISBLANK(P161),\"\",IF(P161>=O161,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82950,"Glucose Post Glucose Dose","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C162),IF(OR(AND(ISBLANK(D162),ISBLANK(E162)),AND(D162=\"No\",ISBLANK(E162))),\"\",IF(AND(ISBLANK(D162),ISNUMBER(E162)),Lookup!$C$11,IF(AND(D162=\"Yes\",ISBLANK(E162)),Lookup!$C$12,IF(AND(D162=\"Yes\",E162>=C162),Lookup!$C$7,IF(AND(D162=\"No\",E162>=C162),Lookup!$C$8,IF(AND(D162=\"Yes\",E162<C162),Lookup!$C$9,IF(AND(D162=\"No\",E162<C162),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G162),IF(OR(AND(ISBLANK(H162),ISBLANK(I162)),AND(H162=\"No\",ISBLANK(I162))),\"\",IF(AND(ISBLANK(H162),ISNUMBER(I162)),Lookup!$C$11,IF(AND(H162=\"Yes\",ISBLANK(I162)),Lookup!$C$12,IF(AND(H162=\"Yes\",I162>=G162),Lookup!$C$7,IF(AND(H162=\"No\",I162>=G162),Lookup!$C$8,IF(AND(H162=\"Yes\",I162<G162),Lookup!$C$9,IF(AND(H162=\"No\",I162<G162),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L162),IF(ISBLANK(M162),\"\",IF(M162>=L162,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O162),IF(ISBLANK(P162),\"\",IF(P162>=O162,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[82962,"Gluc Bld Glucouse Device Spec Home Use","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C163),IF(OR(AND(ISBLANK(D163),ISBLANK(E163)),AND(D163=\"No\",ISBLANK(E163))),\"\",IF(AND(ISBLANK(D163),ISNUMBER(E163)),Lookup!$C$11,IF(AND(D163=\"Yes\",ISBLANK(E163)),Lookup!$C$12,IF(AND(D163=\"Yes\",E163>=C163),Lookup!$C$7,IF(AND(D163=\"No\",E163>=C163),Lookup!$C$8,IF(AND(D163=\"Yes\",E163<C163),Lookup!$C$9,IF(AND(D163=\"No\",E163<C163),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G163),IF(OR(AND(ISBLANK(H163),ISBLANK(I163)),AND(H163=\"No\",ISBLANK(I163))),\"\",IF(AND(ISBLANK(H163),ISNUMBER(I163)),Lookup!$C$11,IF(AND(H163=\"Yes\",ISBLANK(I163)),Lookup!$C$12,IF(AND(H163=\"Yes\",I163>=G163),Lookup!$C$7,IF(AND(H163=\"No\",I163>=G163),Lookup!$C$8,IF(AND(H163=\"Yes\",I163<G163),Lookup!$C$9,IF(AND(H163=\"No\",I163<G163),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L163),IF(ISBLANK(M163),\"\",IF(M163>=L163,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O163),IF(ISBLANK(P163),\"\",IF(P163>=O163,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[83655,"Assay Of Lead","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C164),IF(OR(AND(ISBLANK(D164),ISBLANK(E164)),AND(D164=\"No\",ISBLANK(E164))),\"\",IF(AND(ISBLANK(D164),ISNUMBER(E164)),Lookup!$C$11,IF(AND(D164=\"Yes\",ISBLANK(E164)),Lookup!$C$12,IF(AND(D164=\"Yes\",E164>=C164),Lookup!$C$7,IF(AND(D164=\"No\",E164>=C164),Lookup!$C$8,IF(AND(D164=\"Yes\",E164<C164),Lookup!$C$9,IF(AND(D164=\"No\",E164<C164),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G164),IF(OR(AND(ISBLANK(H164),ISBLANK(I164)),AND(H164=\"No\",ISBLANK(I164))),\"\",IF(AND(ISBLANK(H164),ISNUMBER(I164)),Lookup!$C$11,IF(AND(H164=\"Yes\",ISBLANK(I164)),Lookup!$C$12,IF(AND(H164=\"Yes\",I164>=G164),Lookup!$C$7,IF(AND(H164=\"No\",I164>=G164),Lookup!$C$8,IF(AND(H164=\"Yes\",I164<G164),Lookup!$C$9,IF(AND(H164=\"No\",I164<G164),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L164),IF(ISBLANK(M164),\"\",IF(M164>=L164,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O164),IF(ISBLANK(P164),\"\",IF(P164>=O164,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[83718,"Lipoprotein Dir Meas High Density Cholesterol","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C165),IF(OR(AND(ISBLANK(D165),ISBLANK(E165)),AND(D165=\"No\",ISBLANK(E165))),\"\",IF(AND(ISBLANK(D165),ISNUMBER(E165)),Lookup!$C$11,IF(AND(D165=\"Yes\",ISBLANK(E165)),Lookup!$C$12,IF(AND(D165=\"Yes\",E165>=C165),Lookup!$C$7,IF(AND(D165=\"No\",E165>=C165),Lookup!$C$8,IF(AND(D165=\"Yes\",E165<C165),Lookup!$C$9,IF(AND(D165=\"No\",E165<C165),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G165),IF(OR(AND(ISBLANK(H165),ISBLANK(I165)),AND(H165=\"No\",ISBLANK(I165))),\"\",IF(AND(ISBLANK(H165),ISNUMBER(I165)),Lookup!$C$11,IF(AND(H165=\"Yes\",ISBLANK(I165)),Lookup!$C$12,IF(AND(H165=\"Yes\",I165>=G165),Lookup!$C$7,IF(AND(H165=\"No\",I165>=G165),Lookup!$C$8,IF(AND(H165=\"Yes\",I165<G165),Lookup!$C$9,IF(AND(H165=\"No\",I165<G165),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L165),IF(ISBLANK(M165),\"\",IF(M165>=L165,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O165),IF(ISBLANK(P165),\"\",IF(P165>=O165,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[85013,"Blood Count Spun Microhematocrit","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C166),IF(OR(AND(ISBLANK(D166),ISBLANK(E166)),AND(D166=\"No\",ISBLANK(E166))),\"\",IF(AND(ISBLANK(D166),ISNUMBER(E166)),Lookup!$C$11,IF(AND(D166=\"Yes\",ISBLANK(E166)),Lookup!$C$12,IF(AND(D166=\"Yes\",E166>=C166),Lookup!$C$7,IF(AND(D166=\"No\",E166>=C166),Lookup!$C$8,IF(AND(D166=\"Yes\",E166<C166),Lookup!$C$9,IF(AND(D166=\"No\",E166<C166),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G166),IF(OR(AND(ISBLANK(H166),ISBLANK(I166)),AND(H166=\"No\",ISBLANK(I166))),\"\",IF(AND(ISBLANK(H166),ISNUMBER(I166)),Lookup!$C$11,IF(AND(H166=\"Yes\",ISBLANK(I166)),Lookup!$C$12,IF(AND(H166=\"Yes\",I166>=G166),Lookup!$C$7,IF(AND(H166=\"No\",I166>=G166),Lookup!$C$8,IF(AND(H166=\"Yes\",I166<G166),Lookup!$C$9,IF(AND(H166=\"No\",I166<G166),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L166),IF(ISBLANK(M166),\"\",IF(M166>=L166,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O166),IF(ISBLANK(P166),\"\",IF(P166>=O166,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[85014,"Blood Count Hematocrit","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C167),IF(OR(AND(ISBLANK(D167),ISBLANK(E167)),AND(D167=\"No\",ISBLANK(E167))),\"\",IF(AND(ISBLANK(D167),ISNUMBER(E167)),Lookup!$C$11,IF(AND(D167=\"Yes\",ISBLANK(E167)),Lookup!$C$12,IF(AND(D167=\"Yes\",E167>=C167),Lookup!$C$7,IF(AND(D167=\"No\",E167>=C167),Lookup!$C$8,IF(AND(D167=\"Yes\",E167<C167),Lookup!$C$9,IF(AND(D167=\"No\",E167<C167),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G167),IF(OR(AND(ISBLANK(H167),ISBLANK(I167)),AND(H167=\"No\",ISBLANK(I167))),\"\",IF(AND(ISBLANK(H167),ISNUMBER(I167)),Lookup!$C$11,IF(AND(H167=\"Yes\",ISBLANK(I167)),Lookup!$C$12,IF(AND(H167=\"Yes\",I167>=G167),Lookup!$C$7,IF(AND(H167=\"No\",I167>=G167),Lookup!$C$8,IF(AND(H167=\"Yes\",I167<G167),Lookup!$C$9,IF(AND(H167=\"No\",I167<G167),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L167),IF(ISBLANK(M167),\"\",IF(M167>=L167,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O167),IF(ISBLANK(P167),\"\",IF(P167>=O167,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[85018,"Blood Count Hemoglobin","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C168),IF(OR(AND(ISBLANK(D168),ISBLANK(E168)),AND(D168=\"No\",ISBLANK(E168))),\"\",IF(AND(ISBLANK(D168),ISNUMBER(E168)),Lookup!$C$11,IF(AND(D168=\"Yes\",ISBLANK(E168)),Lookup!$C$12,IF(AND(D168=\"Yes\",E168>=C168),Lookup!$C$7,IF(AND(D168=\"No\",E168>=C168),Lookup!$C$8,IF(AND(D168=\"Yes\",E168<C168),Lookup!$C$9,IF(AND(D168=\"No\",E168<C168),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G168),IF(OR(AND(ISBLANK(H168),ISBLANK(I168)),AND(H168=\"No\",ISBLANK(I168))),\"\",IF(AND(ISBLANK(H168),ISNUMBER(I168)),Lookup!$C$11,IF(AND(H168=\"Yes\",ISBLANK(I168)),Lookup!$C$12,IF(AND(H168=\"Yes\",I168>=G168),Lookup!$C$7,IF(AND(H168=\"No\",I168>=G168),Lookup!$C$8,IF(AND(H168=\"Yes\",I168<G168),Lookup!$C$9,IF(AND(H168=\"No\",I168<G168),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L168),IF(ISBLANK(M168),\"\",IF(M168>=L168,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O168),IF(ISBLANK(P168),\"\",IF(P168>=O168,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[86580,"Skin Test Tuberculosis Intradermal",10.220000000000001,null,null,{"$f":"IF(ISNUMBER(C169),IF(OR(AND(ISBLANK(D169),ISBLANK(E169)),AND(D169=\"No\",ISBLANK(E169))),\"\",IF(AND(ISBLANK(D169),ISNUMBER(E169)),Lookup!$C$11,IF(AND(D169=\"Yes\",ISBLANK(E169)),Lookup!$C$12,IF(AND(D169=\"Yes\",E169>=C169),Lookup!$C$7,IF(AND(D169=\"No\",E169>=C169),Lookup!$C$8,IF(AND(D169=\"Yes\",E169<C169),Lookup!$C$9,IF(AND(D169=\"No\",E169<C169),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},10.220000000000001,null,null,{"$f":"IF(ISNUMBER(G169),IF(OR(AND(ISBLANK(H169),ISBLANK(I169)),AND(H169=\"No\",ISBLANK(I169))),\"\",IF(AND(ISBLANK(H169),ISNUMBER(I169)),Lookup!$C$11,IF(AND(H169=\"Yes\",ISBLANK(I169)),Lookup!$C$12,IF(AND(H169=\"Yes\",I169>=G169),Lookup!$C$7,IF(AND(H169=\"No\",I169>=G169),Lookup!$C$8,IF(AND(H169=\"Yes\",I169<G169),Lookup!$C$9,IF(AND(H169=\"No\",I169<G169),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,9.61,null,{"$f":"IF(ISNUMBER(L169),IF(ISBLANK(M169),\"\",IF(M169>=L169,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},9.61,null,{"$f":"IF(ISNUMBER(O169),IF(ISBLANK(P169),\"\",IF(P169>=O169,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[87205,"Smr Prim Src Gram/Giemsa Stain Bct Fungi/Cel","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C170),IF(OR(AND(ISBLANK(D170),ISBLANK(E170)),AND(D170=\"No\",ISBLANK(E170))),\"\",IF(AND(ISBLANK(D170),ISNUMBER(E170)),Lookup!$C$11,IF(AND(D170=\"Yes\",ISBLANK(E170)),Lookup!$C$12,IF(AND(D170=\"Yes\",E170>=C170),Lookup!$C$7,IF(AND(D170=\"No\",E170>=C170),Lookup!$C$8,IF(AND(D170=\"Yes\",E170<C170),Lookup!$C$9,IF(AND(D170=\"No\",E170<C170),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G170),IF(OR(AND(ISBLANK(H170),ISBLANK(I170)),AND(H170=\"No\",ISBLANK(I170))),\"\",IF(AND(ISBLANK(H170),ISNUMBER(I170)),Lookup!$C$11,IF(AND(H170=\"Yes\",ISBLANK(I170)),Lookup!$C$12,IF(AND(H170=\"Yes\",I170>=G170),Lookup!$C$7,IF(AND(H170=\"No\",I170>=G170),Lookup!$C$8,IF(AND(H170=\"Yes\",I170<G170),Lookup!$C$9,IF(AND(H170=\"No\",I170<G170),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L170),IF(ISBLANK(M170),\"\",IF(M170>=L170,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O170),IF(ISBLANK(P170),\"\",IF(P170>=O170,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[87880,"Immunoassay Streptococcus Group A","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C171),IF(OR(AND(ISBLANK(D171),ISBLANK(E171)),AND(D171=\"No\",ISBLANK(E171))),\"\",IF(AND(ISBLANK(D171),ISNUMBER(E171)),Lookup!$C$11,IF(AND(D171=\"Yes\",ISBLANK(E171)),Lookup!$C$12,IF(AND(D171=\"Yes\",E171>=C171),Lookup!$C$7,IF(AND(D171=\"No\",E171>=C171),Lookup!$C$8,IF(AND(D171=\"Yes\",E171<C171),Lookup!$C$9,IF(AND(D171=\"No\",E171<C171),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G171),IF(OR(AND(ISBLANK(H171),ISBLANK(I171)),AND(H171=\"No\",ISBLANK(I171))),\"\",IF(AND(ISBLANK(H171),ISNUMBER(I171)),Lookup!$C$11,IF(AND(H171=\"Yes\",ISBLANK(I171)),Lookup!$C$12,IF(AND(H171=\"Yes\",I171>=G171),Lookup!$C$7,IF(AND(H171=\"No\",I171>=G171),Lookup!$C$8,IF(AND(H171=\"Yes\",I171<G171),Lookup!$C$9,IF(AND(H171=\"No\",I171<G171),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L171),IF(ISBLANK(M171),\"\",IF(M171>=L171,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O171),IF(ISBLANK(P171),\"\",IF(P171>=O171,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[90283,"Immunizations/Injections","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C172),IF(OR(AND(ISBLANK(D172),ISBLANK(E172)),AND(D172=\"No\",ISBLANK(E172))),\"\",IF(AND(ISBLANK(D172),ISNUMBER(E172)),Lookup!$C$11,IF(AND(D172=\"Yes\",ISBLANK(E172)),Lookup!$C$12,IF(AND(D172=\"Yes\",E172>=C172),Lookup!$C$7,IF(AND(D172=\"No\",E172>=C172),Lookup!$C$8,IF(AND(D172=\"Yes\",E172<C172),Lookup!$C$9,IF(AND(D172=\"No\",E172<C172),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G172),IF(OR(AND(ISBLANK(H172),ISBLANK(I172)),AND(H172=\"No\",ISBLANK(I172))),\"\",IF(AND(ISBLANK(H172),ISNUMBER(I172)),Lookup!$C$11,IF(AND(H172=\"Yes\",ISBLANK(I172)),Lookup!$C$12,IF(AND(H172=\"Yes\",I172>=G172),Lookup!$C$7,IF(AND(H172=\"No\",I172>=G172),Lookup!$C$8,IF(AND(H172=\"Yes\",I172<G172),Lookup!$C$9,IF(AND(H172=\"No\",I172<G172),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L172),IF(ISBLANK(M172),\"\",IF(M172>=L172,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O172),IF(ISBLANK(P172),\"\",IF(P172>=O172,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[90460,"Immunization Admin 1St/Only Component 18 Years<",22.89,null,null,{"$f":"IF(ISNUMBER(C173),IF(OR(AND(ISBLANK(D173),ISBLANK(E173)),AND(D173=\"No\",ISBLANK(E173))),\"\",IF(AND(ISBLANK(D173),ISNUMBER(E173)),Lookup!$C$11,IF(AND(D173=\"Yes\",ISBLANK(E173)),Lookup!$C$12,IF(AND(D173=\"Yes\",E173>=C173),Lookup!$C$7,IF(AND(D173=\"No\",E173>=C173),Lookup!$C$8,IF(AND(D173=\"Yes\",E173<C173),Lookup!$C$9,IF(AND(D173=\"No\",E173<C173),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},22.89,null,null,{"$f":"IF(ISNUMBER(G173),IF(OR(AND(ISBLANK(H173),ISBLANK(I173)),AND(H173=\"No\",ISBLANK(I173))),\"\",IF(AND(ISBLANK(H173),ISNUMBER(I173)),Lookup!$C$11,IF(AND(H173=\"Yes\",ISBLANK(I173)),Lookup!$C$12,IF(AND(H173=\"Yes\",I173>=G173),Lookup!$C$7,IF(AND(H173=\"No\",I173>=G173),Lookup!$C$8,IF(AND(H173=\"Yes\",I173<G173),Lookup!$C$9,IF(AND(H173=\"No\",I173<G173),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,22.24,null,{"$f":"IF(ISNUMBER(L173),IF(ISBLANK(M173),\"\",IF(M173>=L173,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},22.24,null,{"$f":"IF(ISNUMBER(O173),IF(ISBLANK(P173),\"\",IF(P173>=O173,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90461,"Immunization Admin Each Addl Component 18 Years<",8.67,null,null,{"$f":"IF(ISNUMBER(C174),IF(OR(AND(ISBLANK(D174),ISBLANK(E174)),AND(D174=\"No\",ISBLANK(E174))),\"\",IF(AND(ISBLANK(D174),ISNUMBER(E174)),Lookup!$C$11,IF(AND(D174=\"Yes\",ISBLANK(E174)),Lookup!$C$12,IF(AND(D174=\"Yes\",E174>=C174),Lookup!$C$7,IF(AND(D174=\"No\",E174>=C174),Lookup!$C$8,IF(AND(D174=\"Yes\",E174<C174),Lookup!$C$9,IF(AND(D174=\"No\",E174<C174),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},8.67,null,null,{"$f":"IF(ISNUMBER(G174),IF(OR(AND(ISBLANK(H174),ISBLANK(I174)),AND(H174=\"No\",ISBLANK(I174))),\"\",IF(AND(ISBLANK(H174),ISNUMBER(I174)),Lookup!$C$11,IF(AND(H174=\"Yes\",ISBLANK(I174)),Lookup!$C$12,IF(AND(H174=\"Yes\",I174>=G174),Lookup!$C$7,IF(AND(H174=\"No\",I174>=G174),Lookup!$C$8,IF(AND(H174=\"Yes\",I174<G174),Lookup!$C$9,IF(AND(H174=\"No\",I174<G174),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,8.43,null,{"$f":"IF(ISNUMBER(L174),IF(ISBLANK(M174),\"\",IF(M174>=L174,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},8.43,null,{"$f":"IF(ISNUMBER(O174),IF(ISBLANK(P174),\"\",IF(P174>=O174,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90471,"Immunization Admin 1 Vaccine Single/Combo",20.56,null,null,{"$f":"IF(ISNUMBER(C175),IF(OR(AND(ISBLANK(D175),ISBLANK(E175)),AND(D175=\"No\",ISBLANK(E175))),\"\",IF(AND(ISBLANK(D175),ISNUMBER(E175)),Lookup!$C$11,IF(AND(D175=\"Yes\",ISBLANK(E175)),Lookup!$C$12,IF(AND(D175=\"Yes\",E175>=C175),Lookup!$C$7,IF(AND(D175=\"No\",E175>=C175),Lookup!$C$8,IF(AND(D175=\"Yes\",E175<C175),Lookup!$C$9,IF(AND(D175=\"No\",E175<C175),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},20.56,null,null,{"$f":"IF(ISNUMBER(G175),IF(OR(AND(ISBLANK(H175),ISBLANK(I175)),AND(H175=\"No\",ISBLANK(I175))),\"\",IF(AND(ISBLANK(H175),ISNUMBER(I175)),Lookup!$C$11,IF(AND(H175=\"Yes\",ISBLANK(I175)),Lookup!$C$12,IF(AND(H175=\"Yes\",I175>=G175),Lookup!$C$7,IF(AND(H175=\"No\",I175>=G175),Lookup!$C$8,IF(AND(H175=\"Yes\",I175<G175),Lookup!$C$9,IF(AND(H175=\"No\",I175<G175),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,19.97,null,{"$f":"IF(ISNUMBER(L175),IF(ISBLANK(M175),\"\",IF(M175>=L175,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},19.97,null,{"$f":"IF(ISNUMBER(O175),IF(ISBLANK(P175),\"\",IF(P175>=O175,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90472,"Immunization Admin Each Add-On Single/Combo",14.6,null,null,{"$f":"IF(ISNUMBER(C176),IF(OR(AND(ISBLANK(D176),ISBLANK(E176)),AND(D176=\"No\",ISBLANK(E176))),\"\",IF(AND(ISBLANK(D176),ISNUMBER(E176)),Lookup!$C$11,IF(AND(D176=\"Yes\",ISBLANK(E176)),Lookup!$C$12,IF(AND(D176=\"Yes\",E176>=C176),Lookup!$C$7,IF(AND(D176=\"No\",E176>=C176),Lookup!$C$8,IF(AND(D176=\"Yes\",E176<C176),Lookup!$C$9,IF(AND(D176=\"No\",E176<C176),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.6,null,null,{"$f":"IF(ISNUMBER(G176),IF(OR(AND(ISBLANK(H176),ISBLANK(I176)),AND(H176=\"No\",ISBLANK(I176))),\"\",IF(AND(ISBLANK(H176),ISNUMBER(I176)),Lookup!$C$11,IF(AND(H176=\"Yes\",ISBLANK(I176)),Lookup!$C$12,IF(AND(H176=\"Yes\",I176>=G176),Lookup!$C$7,IF(AND(H176=\"No\",I176>=G176),Lookup!$C$8,IF(AND(H176=\"Yes\",I176<G176),Lookup!$C$9,IF(AND(H176=\"No\",I176<G176),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,14.19,null,{"$f":"IF(ISNUMBER(L176),IF(ISBLANK(M176),\"\",IF(M176>=L176,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},14.19,null,{"$f":"IF(ISNUMBER(O176),IF(ISBLANK(P176),\"\",IF(P176>=O176,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90473,"Immunization Admin Oral/Nasal Single/Combo",16.59,null,null,{"$f":"IF(ISNUMBER(C177),IF(OR(AND(ISBLANK(D177),ISBLANK(E177)),AND(D177=\"No\",ISBLANK(E177))),\"\",IF(AND(ISBLANK(D177),ISNUMBER(E177)),Lookup!$C$11,IF(AND(D177=\"Yes\",ISBLANK(E177)),Lookup!$C$12,IF(AND(D177=\"Yes\",E177>=C177),Lookup!$C$7,IF(AND(D177=\"No\",E177>=C177),Lookup!$C$8,IF(AND(D177=\"Yes\",E177<C177),Lookup!$C$9,IF(AND(D177=\"No\",E177<C177),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},16.59,null,null,{"$f":"IF(ISNUMBER(G177),IF(OR(AND(ISBLANK(H177),ISBLANK(I177)),AND(H177=\"No\",ISBLANK(I177))),\"\",IF(AND(ISBLANK(H177),ISNUMBER(I177)),Lookup!$C$11,IF(AND(H177=\"Yes\",ISBLANK(I177)),Lookup!$C$12,IF(AND(H177=\"Yes\",I177>=G177),Lookup!$C$7,IF(AND(H177=\"No\",I177>=G177),Lookup!$C$8,IF(AND(H177=\"Yes\",I177<G177),Lookup!$C$9,IF(AND(H177=\"No\",I177<G177),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,16.12,null,{"$f":"IF(ISNUMBER(L177),IF(ISBLANK(M177),\"\",IF(M177>=L177,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},16.12,null,{"$f":"IF(ISNUMBER(O177),IF(ISBLANK(P177),\"\",IF(P177>=O177,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90474,"Immunization Admin Oral/Nasal Addl Single/Combo",11.96,null,null,{"$f":"IF(ISNUMBER(C178),IF(OR(AND(ISBLANK(D178),ISBLANK(E178)),AND(D178=\"No\",ISBLANK(E178))),\"\",IF(AND(ISBLANK(D178),ISNUMBER(E178)),Lookup!$C$11,IF(AND(D178=\"Yes\",ISBLANK(E178)),Lookup!$C$12,IF(AND(D178=\"Yes\",E178>=C178),Lookup!$C$7,IF(AND(D178=\"No\",E178>=C178),Lookup!$C$8,IF(AND(D178=\"Yes\",E178<C178),Lookup!$C$9,IF(AND(D178=\"No\",E178<C178),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},11.96,null,null,{"$f":"IF(ISNUMBER(G178),IF(OR(AND(ISBLANK(H178),ISBLANK(I178)),AND(H178=\"No\",ISBLANK(I178))),\"\",IF(AND(ISBLANK(H178),ISNUMBER(I178)),Lookup!$C$11,IF(AND(H178=\"Yes\",ISBLANK(I178)),Lookup!$C$12,IF(AND(H178=\"Yes\",I178>=G178),Lookup!$C$7,IF(AND(H178=\"No\",I178>=G178),Lookup!$C$8,IF(AND(H178=\"Yes\",I178<G178),Lookup!$C$9,IF(AND(H178=\"No\",I178<G178),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.62,null,{"$f":"IF(ISNUMBER(L178),IF(ISBLANK(M178),\"\",IF(M178>=L178,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.62,null,{"$f":"IF(ISNUMBER(O178),IF(ISBLANK(P178),\"\",IF(P178>=O178,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90791,"Psych Diagnostic Evaluation",172.75,null,null,{"$f":"IF(ISNUMBER(C179),IF(OR(AND(ISBLANK(D179),ISBLANK(E179)),AND(D179=\"No\",ISBLANK(E179))),\"\",IF(AND(ISBLANK(D179),ISNUMBER(E179)),Lookup!$C$11,IF(AND(D179=\"Yes\",ISBLANK(E179)),Lookup!$C$12,IF(AND(D179=\"Yes\",E179>=C179),Lookup!$C$7,IF(AND(D179=\"No\",E179>=C179),Lookup!$C$8,IF(AND(D179=\"Yes\",E179<C179),Lookup!$C$9,IF(AND(D179=\"No\",E179<C179),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},172.75,null,null,{"$f":"IF(ISNUMBER(G179),IF(OR(AND(ISBLANK(H179),ISBLANK(I179)),AND(H179=\"No\",ISBLANK(I179))),\"\",IF(AND(ISBLANK(H179),ISNUMBER(I179)),Lookup!$C$11,IF(AND(H179=\"Yes\",ISBLANK(I179)),Lookup!$C$12,IF(AND(H179=\"Yes\",I179>=G179),Lookup!$C$7,IF(AND(H179=\"No\",I179>=G179),Lookup!$C$8,IF(AND(H179=\"Yes\",I179<G179),Lookup!$C$9,IF(AND(H179=\"No\",I179<G179),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,167.55,null,{"$f":"IF(ISNUMBER(L179),IF(ISBLANK(M179),\"\",IF(M179>=L179,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},167.55,null,{"$f":"IF(ISNUMBER(O179),IF(ISBLANK(P179),\"\",IF(P179>=O179,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90792,"Psych Diag Eval W/Med Services",194.29,null,null,{"$f":"IF(ISNUMBER(C180),IF(OR(AND(ISBLANK(D180),ISBLANK(E180)),AND(D180=\"No\",ISBLANK(E180))),\"\",IF(AND(ISBLANK(D180),ISNUMBER(E180)),Lookup!$C$11,IF(AND(D180=\"Yes\",ISBLANK(E180)),Lookup!$C$12,IF(AND(D180=\"Yes\",E180>=C180),Lookup!$C$7,IF(AND(D180=\"No\",E180>=C180),Lookup!$C$8,IF(AND(D180=\"Yes\",E180<C180),Lookup!$C$9,IF(AND(D180=\"No\",E180<C180),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},194.29,null,null,{"$f":"IF(ISNUMBER(G180),IF(OR(AND(ISBLANK(H180),ISBLANK(I180)),AND(H180=\"No\",ISBLANK(I180))),\"\",IF(AND(ISBLANK(H180),ISNUMBER(I180)),Lookup!$C$11,IF(AND(H180=\"Yes\",ISBLANK(I180)),Lookup!$C$12,IF(AND(H180=\"Yes\",I180>=G180),Lookup!$C$7,IF(AND(H180=\"No\",I180>=G180),Lookup!$C$8,IF(AND(H180=\"Yes\",I180<G180),Lookup!$C$9,IF(AND(H180=\"No\",I180<G180),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,188.49,null,{"$f":"IF(ISNUMBER(L180),IF(ISBLANK(M180),\"\",IF(M180>=L180,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},188.49,null,{"$f":"IF(ISNUMBER(O180),IF(ISBLANK(P180),\"\",IF(P180>=O180,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[90887,"Consultation with family","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C181),IF(OR(AND(ISBLANK(D181),ISBLANK(E181)),AND(D181=\"No\",ISBLANK(E181))),\"\",IF(AND(ISBLANK(D181),ISNUMBER(E181)),Lookup!$C$11,IF(AND(D181=\"Yes\",ISBLANK(E181)),Lookup!$C$12,IF(AND(D181=\"Yes\",E181>=C181),Lookup!$C$7,IF(AND(D181=\"No\",E181>=C181),Lookup!$C$8,IF(AND(D181=\"Yes\",E181<C181),Lookup!$C$9,IF(AND(D181=\"No\",E181<C181),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G181),IF(OR(AND(ISBLANK(H181),ISBLANK(I181)),AND(H181=\"No\",ISBLANK(I181))),\"\",IF(AND(ISBLANK(H181),ISNUMBER(I181)),Lookup!$C$11,IF(AND(H181=\"Yes\",ISBLANK(I181)),Lookup!$C$12,IF(AND(H181=\"Yes\",I181>=G181),Lookup!$C$7,IF(AND(H181=\"No\",I181>=G181),Lookup!$C$8,IF(AND(H181=\"Yes\",I181<G181),Lookup!$C$9,IF(AND(H181=\"No\",I181<G181),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L181),IF(ISBLANK(M181),\"\",IF(M181>=L181,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O181),IF(ISBLANK(P181),\"\",IF(P181>=O181,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[90889,"Provider prepares report on Pt's mental state for other providers of care","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C182),IF(OR(AND(ISBLANK(D182),ISBLANK(E182)),AND(D182=\"No\",ISBLANK(E182))),\"\",IF(AND(ISBLANK(D182),ISNUMBER(E182)),Lookup!$C$11,IF(AND(D182=\"Yes\",ISBLANK(E182)),Lookup!$C$12,IF(AND(D182=\"Yes\",E182>=C182),Lookup!$C$7,IF(AND(D182=\"No\",E182>=C182),Lookup!$C$8,IF(AND(D182=\"Yes\",E182<C182),Lookup!$C$9,IF(AND(D182=\"No\",E182<C182),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G182),IF(OR(AND(ISBLANK(H182),ISBLANK(I182)),AND(H182=\"No\",ISBLANK(I182))),\"\",IF(AND(ISBLANK(H182),ISNUMBER(I182)),Lookup!$C$11,IF(AND(H182=\"Yes\",ISBLANK(I182)),Lookup!$C$12,IF(AND(H182=\"Yes\",I182>=G182),Lookup!$C$7,IF(AND(H182=\"No\",I182>=G182),Lookup!$C$8,IF(AND(H182=\"Yes\",I182<G182),Lookup!$C$9,IF(AND(H182=\"No\",I182<G182),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L182),IF(ISBLANK(M182),\"\",IF(M182>=L182,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O182),IF(ISBLANK(P182),\"\",IF(P182>=O182,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[92551,"Pure Tone Hearing Test Air","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C183),IF(OR(AND(ISBLANK(D183),ISBLANK(E183)),AND(D183=\"No\",ISBLANK(E183))),\"\",IF(AND(ISBLANK(D183),ISNUMBER(E183)),Lookup!$C$11,IF(AND(D183=\"Yes\",ISBLANK(E183)),Lookup!$C$12,IF(AND(D183=\"Yes\",E183>=C183),Lookup!$C$7,IF(AND(D183=\"No\",E183>=C183),Lookup!$C$8,IF(AND(D183=\"Yes\",E183<C183),Lookup!$C$9,IF(AND(D183=\"No\",E183<C183),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G183),IF(OR(AND(ISBLANK(H183),ISBLANK(I183)),AND(H183=\"No\",ISBLANK(I183))),\"\",IF(AND(ISBLANK(H183),ISNUMBER(I183)),Lookup!$C$11,IF(AND(H183=\"Yes\",ISBLANK(I183)),Lookup!$C$12,IF(AND(H183=\"Yes\",I183>=G183),Lookup!$C$7,IF(AND(H183=\"No\",I183>=G183),Lookup!$C$8,IF(AND(H183=\"Yes\",I183<G183),Lookup!$C$9,IF(AND(H183=\"No\",I183<G183),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L183),IF(ISBLANK(M183),\"\",IF(M183>=L183,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O183),IF(ISBLANK(P183),\"\",IF(P183>=O183,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[92552,"Pure Tone Audiometry Air",37.630000000000003,null,null,{"$f":"IF(ISNUMBER(C184),IF(OR(AND(ISBLANK(D184),ISBLANK(E184)),AND(D184=\"No\",ISBLANK(E184))),\"\",IF(AND(ISBLANK(D184),ISNUMBER(E184)),Lookup!$C$11,IF(AND(D184=\"Yes\",ISBLANK(E184)),Lookup!$C$12,IF(AND(D184=\"Yes\",E184>=C184),Lookup!$C$7,IF(AND(D184=\"No\",E184>=C184),Lookup!$C$8,IF(AND(D184=\"Yes\",E184<C184),Lookup!$C$9,IF(AND(D184=\"No\",E184<C184),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},37.630000000000003,null,null,{"$f":"IF(ISNUMBER(G184),IF(OR(AND(ISBLANK(H184),ISBLANK(I184)),AND(H184=\"No\",ISBLANK(I184))),\"\",IF(AND(ISBLANK(H184),ISNUMBER(I184)),Lookup!$C$11,IF(AND(H184=\"Yes\",ISBLANK(I184)),Lookup!$C$12,IF(AND(H184=\"Yes\",I184>=G184),Lookup!$C$7,IF(AND(H184=\"No\",I184>=G184),Lookup!$C$8,IF(AND(H184=\"Yes\",I184<G184),Lookup!$C$9,IF(AND(H184=\"No\",I184<G184),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,38.49,null,{"$f":"IF(ISNUMBER(L184),IF(ISBLANK(M184),\"\",IF(M184>=L184,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},38.49,null,{"$f":"IF(ISNUMBER(O184),IF(ISBLANK(P184),\"\",IF(P184>=O184,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[92558,"Evoked Auditory Test Qual","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C185),IF(OR(AND(ISBLANK(D185),ISBLANK(E185)),AND(D185=\"No\",ISBLANK(E185))),\"\",IF(AND(ISBLANK(D185),ISNUMBER(E185)),Lookup!$C$11,IF(AND(D185=\"Yes\",ISBLANK(E185)),Lookup!$C$12,IF(AND(D185=\"Yes\",E185>=C185),Lookup!$C$7,IF(AND(D185=\"No\",E185>=C185),Lookup!$C$8,IF(AND(D185=\"Yes\",E185<C185),Lookup!$C$9,IF(AND(D185=\"No\",E185<C185),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G185),IF(OR(AND(ISBLANK(H185),ISBLANK(I185)),AND(H185=\"No\",ISBLANK(I185))),\"\",IF(AND(ISBLANK(H185),ISNUMBER(I185)),Lookup!$C$11,IF(AND(H185=\"Yes\",ISBLANK(I185)),Lookup!$C$12,IF(AND(H185=\"Yes\",I185>=G185),Lookup!$C$7,IF(AND(H185=\"No\",I185>=G185),Lookup!$C$8,IF(AND(H185=\"Yes\",I185<G185),Lookup!$C$9,IF(AND(H185=\"No\",I185<G185),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L185),IF(ISBLANK(M185),\"\",IF(M185>=L185,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O185),IF(ISBLANK(P185),\"\",IF(P185>=O185,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[92567,"Tympanometry",16.28,null,null,{"$f":"IF(ISNUMBER(C186),IF(OR(AND(ISBLANK(D186),ISBLANK(E186)),AND(D186=\"No\",ISBLANK(E186))),\"\",IF(AND(ISBLANK(D186),ISNUMBER(E186)),Lookup!$C$11,IF(AND(D186=\"Yes\",ISBLANK(E186)),Lookup!$C$12,IF(AND(D186=\"Yes\",E186>=C186),Lookup!$C$7,IF(AND(D186=\"No\",E186>=C186),Lookup!$C$8,IF(AND(D186=\"Yes\",E186<C186),Lookup!$C$9,IF(AND(D186=\"No\",E186<C186),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},16.28,null,null,{"$f":"IF(ISNUMBER(G186),IF(OR(AND(ISBLANK(H186),ISBLANK(I186)),AND(H186=\"No\",ISBLANK(I186))),\"\",IF(AND(ISBLANK(H186),ISNUMBER(I186)),Lookup!$C$11,IF(AND(H186=\"Yes\",ISBLANK(I186)),Lookup!$C$12,IF(AND(H186=\"Yes\",I186>=G186),Lookup!$C$7,IF(AND(H186=\"No\",I186>=G186),Lookup!$C$8,IF(AND(H186=\"Yes\",I186<G186),Lookup!$C$9,IF(AND(H186=\"No\",I186<G186),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,15.5,null,{"$f":"IF(ISNUMBER(L186),IF(ISBLANK(M186),\"\",IF(M186>=L186,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},15.5,null,{"$f":"IF(ISNUMBER(O186),IF(ISBLANK(P186),\"\",IF(P186>=O186,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[92587,"Distortion Product Evoked Otoacoustic Emissions Limited",21.3,null,null,{"$f":"IF(ISNUMBER(C187),IF(OR(AND(ISBLANK(D187),ISBLANK(E187)),AND(D187=\"No\",ISBLANK(E187))),\"\",IF(AND(ISBLANK(D187),ISNUMBER(E187)),Lookup!$C$11,IF(AND(D187=\"Yes\",ISBLANK(E187)),Lookup!$C$12,IF(AND(D187=\"Yes\",E187>=C187),Lookup!$C$7,IF(AND(D187=\"No\",E187>=C187),Lookup!$C$8,IF(AND(D187=\"Yes\",E187<C187),Lookup!$C$9,IF(AND(D187=\"No\",E187<C187),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},21.3,null,null,{"$f":"IF(ISNUMBER(G187),IF(OR(AND(ISBLANK(H187),ISBLANK(I187)),AND(H187=\"No\",ISBLANK(I187))),\"\",IF(AND(ISBLANK(H187),ISNUMBER(I187)),Lookup!$C$11,IF(AND(H187=\"Yes\",ISBLANK(I187)),Lookup!$C$12,IF(AND(H187=\"Yes\",I187>=G187),Lookup!$C$7,IF(AND(H187=\"No\",I187>=G187),Lookup!$C$8,IF(AND(H187=\"Yes\",I187<G187),Lookup!$C$9,IF(AND(H187=\"No\",I187<G187),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,21.02,null,{"$f":"IF(ISNUMBER(L187),IF(ISBLANK(M187),\"\",IF(M187>=L187,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},21.02,null,{"$f":"IF(ISNUMBER(O187),IF(ISBLANK(P187),\"\",IF(P187>=O187,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[92588,"Distortion Product Evoked Otoacoustic Emissions Comprehensive",32.97,null,null,{"$f":"IF(ISNUMBER(C188),IF(OR(AND(ISBLANK(D188),ISBLANK(E188)),AND(D188=\"No\",ISBLANK(E188))),\"\",IF(AND(ISBLANK(D188),ISNUMBER(E188)),Lookup!$C$11,IF(AND(D188=\"Yes\",ISBLANK(E188)),Lookup!$C$12,IF(AND(D188=\"Yes\",E188>=C188),Lookup!$C$7,IF(AND(D188=\"No\",E188>=C188),Lookup!$C$8,IF(AND(D188=\"Yes\",E188<C188),Lookup!$C$9,IF(AND(D188=\"No\",E188<C188),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},32.97,null,null,{"$f":"IF(ISNUMBER(G188),IF(OR(AND(ISBLANK(H188),ISBLANK(I188)),AND(H188=\"No\",ISBLANK(I188))),\"\",IF(AND(ISBLANK(H188),ISNUMBER(I188)),Lookup!$C$11,IF(AND(H188=\"Yes\",ISBLANK(I188)),Lookup!$C$12,IF(AND(H188=\"Yes\",I188>=G188),Lookup!$C$7,IF(AND(H188=\"No\",I188>=G188),Lookup!$C$8,IF(AND(H188=\"Yes\",I188<G188),Lookup!$C$9,IF(AND(H188=\"No\",I188<G188),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,32.36,null,{"$f":"IF(ISNUMBER(L188),IF(ISBLANK(M188),\"\",IF(M188>=L188,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},32.36,null,{"$f":"IF(ISNUMBER(O188),IF(ISBLANK(P188),\"\",IF(P188>=O188,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93000,"Ecg Routine Ecg W/Least 12 Lds W/I&R",14.27,null,null,{"$f":"IF(ISNUMBER(C189),IF(OR(AND(ISBLANK(D189),ISBLANK(E189)),AND(D189=\"No\",ISBLANK(E189))),\"\",IF(AND(ISBLANK(D189),ISNUMBER(E189)),Lookup!$C$11,IF(AND(D189=\"Yes\",ISBLANK(E189)),Lookup!$C$12,IF(AND(D189=\"Yes\",E189>=C189),Lookup!$C$7,IF(AND(D189=\"No\",E189>=C189),Lookup!$C$8,IF(AND(D189=\"Yes\",E189<C189),Lookup!$C$9,IF(AND(D189=\"No\",E189<C189),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.27,null,null,{"$f":"IF(ISNUMBER(G189),IF(OR(AND(ISBLANK(H189),ISBLANK(I189)),AND(H189=\"No\",ISBLANK(I189))),\"\",IF(AND(ISBLANK(H189),ISNUMBER(I189)),Lookup!$C$11,IF(AND(H189=\"Yes\",ISBLANK(I189)),Lookup!$C$12,IF(AND(H189=\"Yes\",I189>=G189),Lookup!$C$7,IF(AND(H189=\"No\",I189>=G189),Lookup!$C$8,IF(AND(H189=\"Yes\",I189<G189),Lookup!$C$9,IF(AND(H189=\"No\",I189<G189),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,13.86,null,{"$f":"IF(ISNUMBER(L189),IF(ISBLANK(M189),\"\",IF(M189>=L189,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.86,null,{"$f":"IF(ISNUMBER(O189),IF(ISBLANK(P189),\"\",IF(P189>=O189,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93005,"Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R",6.26,null,null,{"$f":"IF(ISNUMBER(C190),IF(OR(AND(ISBLANK(D190),ISBLANK(E190)),AND(D190=\"No\",ISBLANK(E190))),\"\",IF(AND(ISBLANK(D190),ISNUMBER(E190)),Lookup!$C$11,IF(AND(D190=\"Yes\",ISBLANK(E190)),Lookup!$C$12,IF(AND(D190=\"Yes\",E190>=C190),Lookup!$C$7,IF(AND(D190=\"No\",E190>=C190),Lookup!$C$8,IF(AND(D190=\"Yes\",E190<C190),Lookup!$C$9,IF(AND(D190=\"No\",E190<C190),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},6.26,null,null,{"$f":"IF(ISNUMBER(G190),IF(OR(AND(ISBLANK(H190),ISBLANK(I190)),AND(H190=\"No\",ISBLANK(I190))),\"\",IF(AND(ISBLANK(H190),ISNUMBER(I190)),Lookup!$C$11,IF(AND(H190=\"Yes\",ISBLANK(I190)),Lookup!$C$12,IF(AND(H190=\"Yes\",I190>=G190),Lookup!$C$7,IF(AND(H190=\"No\",I190>=G190),Lookup!$C$8,IF(AND(H190=\"Yes\",I190<G190),Lookup!$C$9,IF(AND(H190=\"No\",I190<G190),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,6.08,null,{"$f":"IF(ISNUMBER(L190),IF(ISBLANK(M190),\"\",IF(M190>=L190,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},6.08,null,{"$f":"IF(ISNUMBER(O190),IF(ISBLANK(P190),\"\",IF(P190>=O190,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93010,"Ecg Routine Ecg W/Least 12 Lds I&R Only",8.01,null,null,{"$f":"IF(ISNUMBER(C191),IF(OR(AND(ISBLANK(D191),ISBLANK(E191)),AND(D191=\"No\",ISBLANK(E191))),\"\",IF(AND(ISBLANK(D191),ISNUMBER(E191)),Lookup!$C$11,IF(AND(D191=\"Yes\",ISBLANK(E191)),Lookup!$C$12,IF(AND(D191=\"Yes\",E191>=C191),Lookup!$C$7,IF(AND(D191=\"No\",E191>=C191),Lookup!$C$8,IF(AND(D191=\"Yes\",E191<C191),Lookup!$C$9,IF(AND(D191=\"No\",E191<C191),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},8.01,null,null,{"$f":"IF(ISNUMBER(G191),IF(OR(AND(ISBLANK(H191),ISBLANK(I191)),AND(H191=\"No\",ISBLANK(I191))),\"\",IF(AND(ISBLANK(H191),ISNUMBER(I191)),Lookup!$C$11,IF(AND(H191=\"Yes\",ISBLANK(I191)),Lookup!$C$12,IF(AND(H191=\"Yes\",I191>=G191),Lookup!$C$7,IF(AND(H191=\"No\",I191>=G191),Lookup!$C$8,IF(AND(H191=\"Yes\",I191<G191),Lookup!$C$9,IF(AND(H191=\"No\",I191<G191),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,7.78,null,{"$f":"IF(ISNUMBER(L191),IF(ISBLANK(M191),\"\",IF(M191>=L191,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},7.78,null,{"$f":"IF(ISNUMBER(O191),IF(ISBLANK(P191),\"\",IF(P191>=O191,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93015,"Cardiovascular stress test",71.69,null,null,{"$f":"IF(ISNUMBER(C192),IF(OR(AND(ISBLANK(D192),ISBLANK(E192)),AND(D192=\"No\",ISBLANK(E192))),\"\",IF(AND(ISBLANK(D192),ISNUMBER(E192)),Lookup!$C$11,IF(AND(D192=\"Yes\",ISBLANK(E192)),Lookup!$C$12,IF(AND(D192=\"Yes\",E192>=C192),Lookup!$C$7,IF(AND(D192=\"No\",E192>=C192),Lookup!$C$8,IF(AND(D192=\"Yes\",E192<C192),Lookup!$C$9,IF(AND(D192=\"No\",E192<C192),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},71.69,null,null,{"$f":"IF(ISNUMBER(G192),IF(OR(AND(ISBLANK(H192),ISBLANK(I192)),AND(H192=\"No\",ISBLANK(I192))),\"\",IF(AND(ISBLANK(H192),ISNUMBER(I192)),Lookup!$C$11,IF(AND(H192=\"Yes\",ISBLANK(I192)),Lookup!$C$12,IF(AND(H192=\"Yes\",I192>=G192),Lookup!$C$7,IF(AND(H192=\"No\",I192>=G192),Lookup!$C$8,IF(AND(H192=\"Yes\",I192<G192),Lookup!$C$9,IF(AND(H192=\"No\",I192<G192),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,70.63,null,{"$f":"IF(ISNUMBER(L192),IF(ISBLANK(M192),\"\",IF(M192>=L192,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},70.63,null,{"$f":"IF(ISNUMBER(O192),IF(ISBLANK(P192),\"\",IF(P192>=O192,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93040,"Rhythm Ecg 1-3 Leads W/Interpretation & Report",12.93,null,null,{"$f":"IF(ISNUMBER(C193),IF(OR(AND(ISBLANK(D193),ISBLANK(E193)),AND(D193=\"No\",ISBLANK(E193))),\"\",IF(AND(ISBLANK(D193),ISNUMBER(E193)),Lookup!$C$11,IF(AND(D193=\"Yes\",ISBLANK(E193)),Lookup!$C$12,IF(AND(D193=\"Yes\",E193>=C193),Lookup!$C$7,IF(AND(D193=\"No\",E193>=C193),Lookup!$C$8,IF(AND(D193=\"Yes\",E193<C193),Lookup!$C$9,IF(AND(D193=\"No\",E193<C193),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},12.93,null,null,{"$f":"IF(ISNUMBER(G193),IF(OR(AND(ISBLANK(H193),ISBLANK(I193)),AND(H193=\"No\",ISBLANK(I193))),\"\",IF(AND(ISBLANK(H193),ISNUMBER(I193)),Lookup!$C$11,IF(AND(H193=\"Yes\",ISBLANK(I193)),Lookup!$C$12,IF(AND(H193=\"Yes\",I193>=G193),Lookup!$C$7,IF(AND(H193=\"No\",I193>=G193),Lookup!$C$8,IF(AND(H193=\"Yes\",I193<G193),Lookup!$C$9,IF(AND(H193=\"No\",I193<G193),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,12.89,null,{"$f":"IF(ISNUMBER(L193),IF(ISBLANK(M193),\"\",IF(M193>=L193,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},12.89,null,{"$f":"IF(ISNUMBER(O193),IF(ISBLANK(P193),\"\",IF(P193>=O193,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93268,"Xtrnl Pt Activ Ecg Transmis W/R&I </30 Days",173.6,null,null,{"$f":"IF(ISNUMBER(C194),IF(OR(AND(ISBLANK(D194),ISBLANK(E194)),AND(D194=\"No\",ISBLANK(E194))),\"\",IF(AND(ISBLANK(D194),ISNUMBER(E194)),Lookup!$C$11,IF(AND(D194=\"Yes\",ISBLANK(E194)),Lookup!$C$12,IF(AND(D194=\"Yes\",E194>=C194),Lookup!$C$7,IF(AND(D194=\"No\",E194>=C194),Lookup!$C$8,IF(AND(D194=\"Yes\",E194<C194),Lookup!$C$9,IF(AND(D194=\"No\",E194<C194),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},173.6,null,null,{"$f":"IF(ISNUMBER(G194),IF(OR(AND(ISBLANK(H194),ISBLANK(I194)),AND(H194=\"No\",ISBLANK(I194))),\"\",IF(AND(ISBLANK(H194),ISNUMBER(I194)),Lookup!$C$11,IF(AND(H194=\"Yes\",ISBLANK(I194)),Lookup!$C$12,IF(AND(H194=\"Yes\",I194>=G194),Lookup!$C$7,IF(AND(H194=\"No\",I194>=G194),Lookup!$C$8,IF(AND(H194=\"Yes\",I194<G194),Lookup!$C$9,IF(AND(H194=\"No\",I194<G194),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,162.27000000000001,null,{"$f":"IF(ISNUMBER(L194),IF(ISBLANK(M194),\"\",IF(M194>=L194,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},162.27000000000001,null,{"$f":"IF(ISNUMBER(O194),IF(ISBLANK(P194),\"\",IF(P194>=O194,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[93784,"Ambl Bld Press W/Tape&/Disk 24/> Hr Alys I&R",45.74,null,null,{"$f":"IF(ISNUMBER(C195),IF(OR(AND(ISBLANK(D195),ISBLANK(E195)),AND(D195=\"No\",ISBLANK(E195))),\"\",IF(AND(ISBLANK(D195),ISNUMBER(E195)),Lookup!$C$11,IF(AND(D195=\"Yes\",ISBLANK(E195)),Lookup!$C$12,IF(AND(D195=\"Yes\",E195>=C195),Lookup!$C$7,IF(AND(D195=\"No\",E195>=C195),Lookup!$C$8,IF(AND(D195=\"Yes\",E195<C195),Lookup!$C$9,IF(AND(D195=\"No\",E195<C195),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},45.74,null,null,{"$f":"IF(ISNUMBER(G195),IF(OR(AND(ISBLANK(H195),ISBLANK(I195)),AND(H195=\"No\",ISBLANK(I195))),\"\",IF(AND(ISBLANK(H195),ISNUMBER(I195)),Lookup!$C$11,IF(AND(H195=\"Yes\",ISBLANK(I195)),Lookup!$C$12,IF(AND(H195=\"Yes\",I195>=G195),Lookup!$C$7,IF(AND(H195=\"No\",I195>=G195),Lookup!$C$8,IF(AND(H195=\"Yes\",I195<G195),Lookup!$C$9,IF(AND(H195=\"No\",I195<G195),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,44.45,null,{"$f":"IF(ISNUMBER(L195),IF(ISBLANK(M195),\"\",IF(M195>=L195,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},44.45,null,{"$f":"IF(ISNUMBER(O195),IF(ISBLANK(P195),\"\",IF(P195>=O195,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94010,"Spirometry",27.14,null,null,{"$f":"IF(ISNUMBER(C196),IF(OR(AND(ISBLANK(D196),ISBLANK(E196)),AND(D196=\"No\",ISBLANK(E196))),\"\",IF(AND(ISBLANK(D196),ISNUMBER(E196)),Lookup!$C$11,IF(AND(D196=\"Yes\",ISBLANK(E196)),Lookup!$C$12,IF(AND(D196=\"Yes\",E196>=C196),Lookup!$C$7,IF(AND(D196=\"No\",E196>=C196),Lookup!$C$8,IF(AND(D196=\"Yes\",E196<C196),Lookup!$C$9,IF(AND(D196=\"No\",E196<C196),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},27.14,null,null,{"$f":"IF(ISNUMBER(G196),IF(OR(AND(ISBLANK(H196),ISBLANK(I196)),AND(H196=\"No\",ISBLANK(I196))),\"\",IF(AND(ISBLANK(H196),ISNUMBER(I196)),Lookup!$C$11,IF(AND(H196=\"Yes\",ISBLANK(I196)),Lookup!$C$12,IF(AND(H196=\"Yes\",I196>=G196),Lookup!$C$7,IF(AND(H196=\"No\",I196>=G196),Lookup!$C$8,IF(AND(H196=\"Yes\",I196<G196),Lookup!$C$9,IF(AND(H196=\"No\",I196<G196),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,26.38,null,{"$f":"IF(ISNUMBER(L196),IF(ISBLANK(M196),\"\",IF(M196>=L196,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},26.38,null,{"$f":"IF(ISNUMBER(O196),IF(ISBLANK(P196),\"\",IF(P196>=O196,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94014,"Pt Recorded Spirometry Complex",55.73,null,null,{"$f":"IF(ISNUMBER(C197),IF(OR(AND(ISBLANK(D197),ISBLANK(E197)),AND(D197=\"No\",ISBLANK(E197))),\"\",IF(AND(ISBLANK(D197),ISNUMBER(E197)),Lookup!$C$11,IF(AND(D197=\"Yes\",ISBLANK(E197)),Lookup!$C$12,IF(AND(D197=\"Yes\",E197>=C197),Lookup!$C$7,IF(AND(D197=\"No\",E197>=C197),Lookup!$C$8,IF(AND(D197=\"Yes\",E197<C197),Lookup!$C$9,IF(AND(D197=\"No\",E197<C197),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},55.73,null,null,{"$f":"IF(ISNUMBER(G197),IF(OR(AND(ISBLANK(H197),ISBLANK(I197)),AND(H197=\"No\",ISBLANK(I197))),\"\",IF(AND(ISBLANK(H197),ISNUMBER(I197)),Lookup!$C$11,IF(AND(H197=\"Yes\",ISBLANK(I197)),Lookup!$C$12,IF(AND(H197=\"Yes\",I197>=G197),Lookup!$C$7,IF(AND(H197=\"No\",I197>=G197),Lookup!$C$8,IF(AND(H197=\"Yes\",I197<G197),Lookup!$C$9,IF(AND(H197=\"No\",I197<G197),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,54.15,null,{"$f":"IF(ISNUMBER(L197),IF(ISBLANK(M197),\"\",IF(M197>=L197,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},54.15,null,{"$f":"IF(ISNUMBER(O197),IF(ISBLANK(P197),\"\",IF(P197>=O197,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94015,"Pt Recorded Spirometry Simple",31.69,null,null,{"$f":"IF(ISNUMBER(C198),IF(OR(AND(ISBLANK(D198),ISBLANK(E198)),AND(D198=\"No\",ISBLANK(E198))),\"\",IF(AND(ISBLANK(D198),ISNUMBER(E198)),Lookup!$C$11,IF(AND(D198=\"Yes\",ISBLANK(E198)),Lookup!$C$12,IF(AND(D198=\"Yes\",E198>=C198),Lookup!$C$7,IF(AND(D198=\"No\",E198>=C198),Lookup!$C$8,IF(AND(D198=\"Yes\",E198<C198),Lookup!$C$9,IF(AND(D198=\"No\",E198<C198),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},31.69,null,null,{"$f":"IF(ISNUMBER(G198),IF(OR(AND(ISBLANK(H198),ISBLANK(I198)),AND(H198=\"No\",ISBLANK(I198))),\"\",IF(AND(ISBLANK(H198),ISNUMBER(I198)),Lookup!$C$11,IF(AND(H198=\"Yes\",ISBLANK(I198)),Lookup!$C$12,IF(AND(H198=\"Yes\",I198>=G198),Lookup!$C$7,IF(AND(H198=\"No\",I198>=G198),Lookup!$C$8,IF(AND(H198=\"Yes\",I198<G198),Lookup!$C$9,IF(AND(H198=\"No\",I198<G198),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,30.79,null,{"$f":"IF(ISNUMBER(L198),IF(ISBLANK(M198),\"\",IF(M198>=L198,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},30.79,null,{"$f":"IF(ISNUMBER(O198),IF(ISBLANK(P198),\"\",IF(P198>=O198,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94016,"Review Pt Spirometry",24.04,null,null,{"$f":"IF(ISNUMBER(C199),IF(OR(AND(ISBLANK(D199),ISBLANK(E199)),AND(D199=\"No\",ISBLANK(E199))),\"\",IF(AND(ISBLANK(D199),ISNUMBER(E199)),Lookup!$C$11,IF(AND(D199=\"Yes\",ISBLANK(E199)),Lookup!$C$12,IF(AND(D199=\"Yes\",E199>=C199),Lookup!$C$7,IF(AND(D199=\"No\",E199>=C199),Lookup!$C$8,IF(AND(D199=\"Yes\",E199<C199),Lookup!$C$9,IF(AND(D199=\"No\",E199<C199),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},24.04,null,null,{"$f":"IF(ISNUMBER(G199),IF(OR(AND(ISBLANK(H199),ISBLANK(I199)),AND(H199=\"No\",ISBLANK(I199))),\"\",IF(AND(ISBLANK(H199),ISNUMBER(I199)),Lookup!$C$11,IF(AND(H199=\"Yes\",ISBLANK(I199)),Lookup!$C$12,IF(AND(H199=\"Yes\",I199>=G199),Lookup!$C$7,IF(AND(H199=\"No\",I199>=G199),Lookup!$C$8,IF(AND(H199=\"Yes\",I199<G199),Lookup!$C$9,IF(AND(H199=\"No\",I199<G199),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,23.36,null,{"$f":"IF(ISNUMBER(L199),IF(ISBLANK(M199),\"\",IF(M199>=L199,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},23.36,null,{"$f":"IF(ISNUMBER(O199),IF(ISBLANK(P199),\"\",IF(P199>=O199,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94060,"Bronchodilation Responsiveness ",38.729999999999997,null,null,{"$f":"IF(ISNUMBER(C200),IF(OR(AND(ISBLANK(D200),ISBLANK(E200)),AND(D200=\"No\",ISBLANK(E200))),\"\",IF(AND(ISBLANK(D200),ISNUMBER(E200)),Lookup!$C$11,IF(AND(D200=\"Yes\",ISBLANK(E200)),Lookup!$C$12,IF(AND(D200=\"Yes\",E200>=C200),Lookup!$C$7,IF(AND(D200=\"No\",E200>=C200),Lookup!$C$8,IF(AND(D200=\"Yes\",E200<C200),Lookup!$C$9,IF(AND(D200=\"No\",E200<C200),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},38.729999999999997,null,null,{"$f":"IF(ISNUMBER(G200),IF(OR(AND(ISBLANK(H200),ISBLANK(I200)),AND(H200=\"No\",ISBLANK(I200))),\"\",IF(AND(ISBLANK(H200),ISNUMBER(I200)),Lookup!$C$11,IF(AND(H200=\"Yes\",ISBLANK(I200)),Lookup!$C$12,IF(AND(H200=\"Yes\",I200>=G200),Lookup!$C$7,IF(AND(H200=\"No\",I200>=G200),Lookup!$C$8,IF(AND(H200=\"Yes\",I200<G200),Lookup!$C$9,IF(AND(H200=\"No\",I200<G200),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,37.64,null,{"$f":"IF(ISNUMBER(L200),IF(ISBLANK(M200),\"\",IF(M200>=L200,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},37.64,null,{"$f":"IF(ISNUMBER(O200),IF(ISBLANK(P200),\"\",IF(P200>=O200,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[94070,"Bronchodilation Provocation Evaluation",62.69,null,null,{"$f":"IF(ISNUMBER(C201),IF(OR(AND(ISBLANK(D201),ISBLANK(E201)),AND(D201=\"No\",ISBLANK(E201))),\"\",IF(AND(ISBLANK(D201),ISNUMBER(E201)),Lookup!$C$11,IF(AND(D201=\"Yes\",ISBLANK(E201)),Lookup!$C$12,IF(AND(D201=\"Yes\",E201>=C201),Lookup!$C$7,IF(AND(D201=\"No\",E201>=C201),Lookup!$C$8,IF(AND(D201=\"Yes\",E201<C201),Lookup!$C$9,IF(AND(D201=\"No\",E201<C201),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},62.69,null,null,{"$f":"IF(ISNUMBER(G201),IF(OR(AND(ISBLANK(H201),ISBLANK(I201)),AND(H201=\"No\",ISBLANK(I201))),\"\",IF(AND(ISBLANK(H201),ISNUMBER(I201)),Lookup!$C$11,IF(AND(H201=\"Yes\",ISBLANK(I201)),Lookup!$C$12,IF(AND(H201=\"Yes\",I201>=G201),Lookup!$C$7,IF(AND(H201=\"No\",I201>=G201),Lookup!$C$8,IF(AND(H201=\"Yes\",I201<G201),Lookup!$C$9,IF(AND(H201=\"No\",I201<G201),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,61.24,null,{"$f":"IF(ISNUMBER(L201),IF(ISBLANK(M201),\"\",IF(M201>=L201,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},61.24,null,{"$f":"IF(ISNUMBER(O201),IF(ISBLANK(P201),\"\",IF(P201>=O201,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[94664,"Demo&/Eval Of Pt Utiliz Aersl Gen/Neb/Inhlr/Ip",17.8,null,null,{"$f":"IF(ISNUMBER(C204),IF(OR(AND(ISBLANK(D204),ISBLANK(E204)),AND(D204=\"No\",ISBLANK(E204))),\"\",IF(AND(ISBLANK(D204),ISNUMBER(E204)),Lookup!$C$11,IF(AND(D204=\"Yes\",ISBLANK(E204)),Lookup!$C$12,IF(AND(D204=\"Yes\",E204>=C204),Lookup!$C$7,IF(AND(D204=\"No\",E204>=C204),Lookup!$C$8,IF(AND(D204=\"Yes\",E204<C204),Lookup!$C$9,IF(AND(D204=\"No\",E204<C204),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},17.8,null,null,{"$f":"IF(ISNUMBER(G204),IF(OR(AND(ISBLANK(H204),ISBLANK(I204)),AND(H204=\"No\",ISBLANK(I204))),\"\",IF(AND(ISBLANK(H204),ISNUMBER(I204)),Lookup!$C$11,IF(AND(H204=\"Yes\",ISBLANK(I204)),Lookup!$C$12,IF(AND(H204=\"Yes\",I204>=G204),Lookup!$C$7,IF(AND(H204=\"No\",I204>=G204),Lookup!$C$8,IF(AND(H204=\"Yes\",I204<G204),Lookup!$C$9,IF(AND(H204=\"No\",I204<G204),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.3,null,{"$f":"IF(ISNUMBER(L204),IF(ISBLANK(M204),\"\",IF(M204>=L204,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.3,null,{"$f":"IF(ISNUMBER(O204),IF(ISBLANK(P204),\"\",IF(P204>=O204,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[94761,"Noninvasive Ear/Pulse Oximetry Multiple Deter",3.95,null,null,{"$f":"IF(ISNUMBER(C206),IF(OR(AND(ISBLANK(D206),ISBLANK(E206)),AND(D206=\"No\",ISBLANK(E206))),\"\",IF(AND(ISBLANK(D206),ISNUMBER(E206)),Lookup!$C$11,IF(AND(D206=\"Yes\",ISBLANK(E206)),Lookup!$C$12,IF(AND(D206=\"Yes\",E206>=C206),Lookup!$C$7,IF(AND(D206=\"No\",E206>=C206),Lookup!$C$8,IF(AND(D206=\"Yes\",E206<C206),Lookup!$C$9,IF(AND(D206=\"No\",E206<C206),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},3.95,null,null,{"$f":"IF(ISNUMBER(G206),IF(OR(AND(ISBLANK(H206),ISBLANK(I206)),AND(H206=\"No\",ISBLANK(I206))),\"\",IF(AND(ISBLANK(H206),ISNUMBER(I206)),Lookup!$C$11,IF(AND(H206=\"Yes\",ISBLANK(I206)),Lookup!$C$12,IF(AND(H206=\"Yes\",I206>=G206),Lookup!$C$7,IF(AND(H206=\"No\",I206>=G206),Lookup!$C$8,IF(AND(H206=\"Yes\",I206<G206),Lookup!$C$9,IF(AND(H206=\"No\",I206<G206),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,3.84,null,{"$f":"IF(ISNUMBER(L206),IF(ISBLANK(M206),\"\",IF(M206>=L206,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},3.84,null,{"$f":"IF(ISNUMBER(O206),IF(ISBLANK(P206),\"\",IF(P206>=O206,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95004,"Percutaneous allergy skin tests",3.62,null,null,{"$f":"IF(ISNUMBER(C207),IF(OR(AND(ISBLANK(D207),ISBLANK(E207)),AND(D207=\"No\",ISBLANK(E207))),\"\",IF(AND(ISBLANK(D207),ISNUMBER(E207)),Lookup!$C$11,IF(AND(D207=\"Yes\",ISBLANK(E207)),Lookup!$C$12,IF(AND(D207=\"Yes\",E207>=C207),Lookup!$C$7,IF(AND(D207=\"No\",E207>=C207),Lookup!$C$8,IF(AND(D207=\"Yes\",E207<C207),Lookup!$C$9,IF(AND(D207=\"No\",E207<C207),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},3.62,null,null,{"$f":"IF(ISNUMBER(G207),IF(OR(AND(ISBLANK(H207),ISBLANK(I207)),AND(H207=\"No\",ISBLANK(I207))),\"\",IF(AND(ISBLANK(H207),ISNUMBER(I207)),Lookup!$C$11,IF(AND(H207=\"Yes\",ISBLANK(I207)),Lookup!$C$12,IF(AND(H207=\"Yes\",I207>=G207),Lookup!$C$7,IF(AND(H207=\"No\",I207>=G207),Lookup!$C$8,IF(AND(H207=\"Yes\",I207<G207),Lookup!$C$9,IF(AND(H207=\"No\",I207<G207),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,3.52,null,{"$f":"IF(ISNUMBER(L207),IF(ISBLANK(M207),\"\",IF(M207>=L207,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},3.52,null,{"$f":"IF(ISNUMBER(O207),IF(ISBLANK(P207),\"\",IF(P207>=O207,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95017,"Perq & icut allg test venoms",8.61,null,null,{"$f":"IF(ISNUMBER(C208),IF(OR(AND(ISBLANK(D208),ISBLANK(E208)),AND(D208=\"No\",ISBLANK(E208))),\"\",IF(AND(ISBLANK(D208),ISNUMBER(E208)),Lookup!$C$11,IF(AND(D208=\"Yes\",ISBLANK(E208)),Lookup!$C$12,IF(AND(D208=\"Yes\",E208>=C208),Lookup!$C$7,IF(AND(D208=\"No\",E208>=C208),Lookup!$C$8,IF(AND(D208=\"Yes\",E208<C208),Lookup!$C$9,IF(AND(D208=\"No\",E208<C208),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},8.61,null,null,{"$f":"IF(ISNUMBER(G208),IF(OR(AND(ISBLANK(H208),ISBLANK(I208)),AND(H208=\"No\",ISBLANK(I208))),\"\",IF(AND(ISBLANK(H208),ISNUMBER(I208)),Lookup!$C$11,IF(AND(H208=\"Yes\",ISBLANK(I208)),Lookup!$C$12,IF(AND(H208=\"Yes\",I208>=G208),Lookup!$C$7,IF(AND(H208=\"No\",I208>=G208),Lookup!$C$8,IF(AND(H208=\"Yes\",I208<G208),Lookup!$C$9,IF(AND(H208=\"No\",I208<G208),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,8.0500000000000007,null,{"$f":"IF(ISNUMBER(L208),IF(ISBLANK(M208),\"\",IF(M208>=L208,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},8.0500000000000007,null,{"$f":"IF(ISNUMBER(O208),IF(ISBLANK(P208),\"\",IF(P208>=O208,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95018,"Perq&ic allg test drugs/biol",19.88,null,null,{"$f":"IF(ISNUMBER(C209),IF(OR(AND(ISBLANK(D209),ISBLANK(E209)),AND(D209=\"No\",ISBLANK(E209))),\"\",IF(AND(ISBLANK(D209),ISNUMBER(E209)),Lookup!$C$11,IF(AND(D209=\"Yes\",ISBLANK(E209)),Lookup!$C$12,IF(AND(D209=\"Yes\",E209>=C209),Lookup!$C$7,IF(AND(D209=\"No\",E209>=C209),Lookup!$C$8,IF(AND(D209=\"Yes\",E209<C209),Lookup!$C$9,IF(AND(D209=\"No\",E209<C209),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},19.88,null,null,{"$f":"IF(ISNUMBER(G209),IF(OR(AND(ISBLANK(H209),ISBLANK(I209)),AND(H209=\"No\",ISBLANK(I209))),\"\",IF(AND(ISBLANK(H209),ISNUMBER(I209)),Lookup!$C$11,IF(AND(H209=\"Yes\",ISBLANK(I209)),Lookup!$C$12,IF(AND(H209=\"Yes\",I209>=G209),Lookup!$C$7,IF(AND(H209=\"No\",I209>=G209),Lookup!$C$8,IF(AND(H209=\"Yes\",I209<G209),Lookup!$C$9,IF(AND(H209=\"No\",I209<G209),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,18.989999999999998,null,{"$f":"IF(ISNUMBER(L209),IF(ISBLANK(M209),\"\",IF(M209>=L209,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},18.989999999999998,null,{"$f":"IF(ISNUMBER(O209),IF(ISBLANK(P209),\"\",IF(P209>=O209,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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[95044,"Allergy patch tests",4.9400000000000004,null,null,{"$f":"IF(ISNUMBER(C213),IF(OR(AND(ISBLANK(D213),ISBLANK(E213)),AND(D213=\"No\",ISBLANK(E213))),\"\",IF(AND(ISBLANK(D213),ISNUMBER(E213)),Lookup!$C$11,IF(AND(D213=\"Yes\",ISBLANK(E213)),Lookup!$C$12,IF(AND(D213=\"Yes\",E213>=C213),Lookup!$C$7,IF(AND(D213=\"No\",E213>=C213),Lookup!$C$8,IF(AND(D213=\"Yes\",E213<C213),Lookup!$C$9,IF(AND(D213=\"No\",E213<C213),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},4.9400000000000004,null,null,{"$f":"IF(ISNUMBER(G213),IF(OR(AND(ISBLANK(H213),ISBLANK(I213)),AND(H213=\"No\",ISBLANK(I213))),\"\",IF(AND(ISBLANK(H213),ISNUMBER(I213)),Lookup!$C$11,IF(AND(H213=\"Yes\",ISBLANK(I213)),Lookup!$C$12,IF(AND(H213=\"Yes\",I213>=G213),Lookup!$C$7,IF(AND(H213=\"No\",I213>=G213),Lookup!$C$8,IF(AND(H213=\"Yes\",I213<G213),Lookup!$C$9,IF(AND(H213=\"No\",I213<G213),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,4.8,null,{"$f":"IF(ISNUMBER(L213),IF(ISBLANK(M213),\"\",IF(M213>=L213,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},4.8,null,{"$f":"IF(ISNUMBER(O213),IF(ISBLANK(P213),\"\",IF(P213>=O213,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95056,"Photosensitivity tests",51.81,null,null,{"$f":"IF(ISNUMBER(C214),IF(OR(AND(ISBLANK(D214),ISBLANK(E214)),AND(D214=\"No\",ISBLANK(E214))),\"\",IF(AND(ISBLANK(D214),ISNUMBER(E214)),Lookup!$C$11,IF(AND(D214=\"Yes\",ISBLANK(E214)),Lookup!$C$12,IF(AND(D214=\"Yes\",E214>=C214),Lookup!$C$7,IF(AND(D214=\"No\",E214>=C214),Lookup!$C$8,IF(AND(D214=\"Yes\",E214<C214),Lookup!$C$9,IF(AND(D214=\"No\",E214<C214),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},51.81,null,null,{"$f":"IF(ISNUMBER(G214),IF(OR(AND(ISBLANK(H214),ISBLANK(I214)),AND(H214=\"No\",ISBLANK(I214))),\"\",IF(AND(ISBLANK(H214),ISNUMBER(I214)),Lookup!$C$11,IF(AND(H214=\"Yes\",ISBLANK(I214)),Lookup!$C$12,IF(AND(H214=\"Yes\",I214>=G214),Lookup!$C$7,IF(AND(H214=\"No\",I214>=G214),Lookup!$C$8,IF(AND(H214=\"Yes\",I214<G214),Lookup!$C$9,IF(AND(H214=\"No\",I214<G214),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,50.99,null,{"$f":"IF(ISNUMBER(L214),IF(ISBLANK(M214),\"\",IF(M214>=L214,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},50.99,null,{"$f":"IF(ISNUMBER(O214),IF(ISBLANK(P214),\"\",IF(P214>=O214,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95060,"Eye allergy tests",38.950000000000003,null,null,{"$f":"IF(ISNUMBER(C215),IF(OR(AND(ISBLANK(D215),ISBLANK(E215)),AND(D215=\"No\",ISBLANK(E215))),\"\",IF(AND(ISBLANK(D215),ISNUMBER(E215)),Lookup!$C$11,IF(AND(D215=\"Yes\",ISBLANK(E215)),Lookup!$C$12,IF(AND(D215=\"Yes\",E215>=C215),Lookup!$C$7,IF(AND(D215=\"No\",E215>=C215),Lookup!$C$8,IF(AND(D215=\"Yes\",E215<C215),Lookup!$C$9,IF(AND(D215=\"No\",E215<C215),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},38.950000000000003,null,null,{"$f":"IF(ISNUMBER(G215),IF(OR(AND(ISBLANK(H215),ISBLANK(I215)),AND(H215=\"No\",ISBLANK(I215))),\"\",IF(AND(ISBLANK(H215),ISNUMBER(I215)),Lookup!$C$11,IF(AND(H215=\"Yes\",ISBLANK(I215)),Lookup!$C$12,IF(AND(H215=\"Yes\",I215>=G215),Lookup!$C$7,IF(AND(H215=\"No\",I215>=G215),Lookup!$C$8,IF(AND(H215=\"Yes\",I215<G215),Lookup!$C$9,IF(AND(H215=\"No\",I215<G215),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,38.17,null,{"$f":"IF(ISNUMBER(L215),IF(ISBLANK(M215),\"\",IF(M215>=L215,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},38.17,null,{"$f":"IF(ISNUMBER(O215),IF(ISBLANK(P215),\"\",IF(P215>=O215,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95065,"Nose allergy test",28.71,null,null,{"$f":"IF(ISNUMBER(C216),IF(OR(AND(ISBLANK(D216),ISBLANK(E216)),AND(D216=\"No\",ISBLANK(E216))),\"\",IF(AND(ISBLANK(D216),ISNUMBER(E216)),Lookup!$C$11,IF(AND(D216=\"Yes\",ISBLANK(E216)),Lookup!$C$12,IF(AND(D216=\"Yes\",E216>=C216),Lookup!$C$7,IF(AND(D216=\"No\",E216>=C216),Lookup!$C$8,IF(AND(D216=\"Yes\",E216<C216),Lookup!$C$9,IF(AND(D216=\"No\",E216<C216),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},28.71,null,null,{"$f":"IF(ISNUMBER(G216),IF(OR(AND(ISBLANK(H216),ISBLANK(I216)),AND(H216=\"No\",ISBLANK(I216))),\"\",IF(AND(ISBLANK(H216),ISNUMBER(I216)),Lookup!$C$11,IF(AND(H216=\"Yes\",ISBLANK(I216)),Lookup!$C$12,IF(AND(H216=\"Yes\",I216>=G216),Lookup!$C$7,IF(AND(H216=\"No\",I216>=G216),Lookup!$C$8,IF(AND(H216=\"Yes\",I216<G216),Lookup!$C$9,IF(AND(H216=\"No\",I216<G216),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.22,null,{"$f":"IF(ISNUMBER(L216),IF(ISBLANK(M216),\"\",IF(M216>=L216,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.22,null,{"$f":"IF(ISNUMBER(O216),IF(ISBLANK(P216),\"\",IF(P216>=O216,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95070,"Bronchial allergy tests",34.64,null,null,{"$f":"IF(ISNUMBER(C217),IF(OR(AND(ISBLANK(D217),ISBLANK(E217)),AND(D217=\"No\",ISBLANK(E217))),\"\",IF(AND(ISBLANK(D217),ISNUMBER(E217)),Lookup!$C$11,IF(AND(D217=\"Yes\",ISBLANK(E217)),Lookup!$C$12,IF(AND(D217=\"Yes\",E217>=C217),Lookup!$C$7,IF(AND(D217=\"No\",E217>=C217),Lookup!$C$8,IF(AND(D217=\"Yes\",E217<C217),Lookup!$C$9,IF(AND(D217=\"No\",E217<C217),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},34.64,null,null,{"$f":"IF(ISNUMBER(G217),IF(OR(AND(ISBLANK(H217),ISBLANK(I217)),AND(H217=\"No\",ISBLANK(I217))),\"\",IF(AND(ISBLANK(H217),ISNUMBER(I217)),Lookup!$C$11,IF(AND(H217=\"Yes\",ISBLANK(I217)),Lookup!$C$12,IF(AND(H217=\"Yes\",I217>=G217),Lookup!$C$7,IF(AND(H217=\"No\",I217>=G217),Lookup!$C$8,IF(AND(H217=\"Yes\",I217<G217),Lookup!$C$9,IF(AND(H217=\"No\",I217<G217),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.97,null,{"$f":"IF(ISNUMBER(L217),IF(ISBLANK(M217),\"\",IF(M217>=L217,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.97,null,{"$f":"IF(ISNUMBER(O217),IF(ISBLANK(P217),\"\",IF(P217>=O217,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95115,"Prof Services Allergen Immutherapy Single Injection",10.220000000000001,null,null,{"$f":"IF(ISNUMBER(C218),IF(OR(AND(ISBLANK(D218),ISBLANK(E218)),AND(D218=\"No\",ISBLANK(E218))),\"\",IF(AND(ISBLANK(D218),ISNUMBER(E218)),Lookup!$C$11,IF(AND(D218=\"Yes\",ISBLANK(E218)),Lookup!$C$12,IF(AND(D218=\"Yes\",E218>=C218),Lookup!$C$7,IF(AND(D218=\"No\",E218>=C218),Lookup!$C$8,IF(AND(D218=\"Yes\",E218<C218),Lookup!$C$9,IF(AND(D218=\"No\",E218<C218),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},10.220000000000001,null,null,{"$f":"IF(ISNUMBER(G218),IF(OR(AND(ISBLANK(H218),ISBLANK(I218)),AND(H218=\"No\",ISBLANK(I218))),\"\",IF(AND(ISBLANK(H218),ISNUMBER(I218)),Lookup!$C$11,IF(AND(H218=\"Yes\",ISBLANK(I218)),Lookup!$C$12,IF(AND(H218=\"Yes\",I218>=G218),Lookup!$C$7,IF(AND(H218=\"No\",I218>=G218),Lookup!$C$8,IF(AND(H218=\"Yes\",I218<G218),Lookup!$C$9,IF(AND(H218=\"No\",I218<G218),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,10.25,null,{"$f":"IF(ISNUMBER(L218),IF(ISBLANK(M218),\"\",IF(M218>=L218,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},10.25,null,{"$f":"IF(ISNUMBER(O218),IF(ISBLANK(P218),\"\",IF(P218>=O218,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95117,"Prof Services Allergen Immutherapy Multiple Injection",12.2,null,null,{"$f":"IF(ISNUMBER(C219),IF(OR(AND(ISBLANK(D219),ISBLANK(E219)),AND(D219=\"No\",ISBLANK(E219))),\"\",IF(AND(ISBLANK(D219),ISNUMBER(E219)),Lookup!$C$11,IF(AND(D219=\"Yes\",ISBLANK(E219)),Lookup!$C$12,IF(AND(D219=\"Yes\",E219>=C219),Lookup!$C$7,IF(AND(D219=\"No\",E219>=C219),Lookup!$C$8,IF(AND(D219=\"Yes\",E219<C219),Lookup!$C$9,IF(AND(D219=\"No\",E219<C219),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},12.2,null,null,{"$f":"IF(ISNUMBER(G219),IF(OR(AND(ISBLANK(H219),ISBLANK(I219)),AND(H219=\"No\",ISBLANK(I219))),\"\",IF(AND(ISBLANK(H219),ISNUMBER(I219)),Lookup!$C$11,IF(AND(H219=\"Yes\",ISBLANK(I219)),Lookup!$C$12,IF(AND(H219=\"Yes\",I219>=G219),Lookup!$C$7,IF(AND(H219=\"No\",I219>=G219),Lookup!$C$8,IF(AND(H219=\"Yes\",I219<G219),Lookup!$C$9,IF(AND(H219=\"No\",I219<G219),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.86,null,{"$f":"IF(ISNUMBER(L219),IF(ISBLANK(M219),\"\",IF(M219>=L219,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.86,null,{"$f":"IF(ISNUMBER(O219),IF(ISBLANK(P219),\"\",IF(P219>=O219,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95249,"Cont gluc mntr pt prov eqp",64.66,null,null,{"$f":"IF(ISNUMBER(C220),IF(OR(AND(ISBLANK(D220),ISBLANK(E220)),AND(D220=\"No\",ISBLANK(E220))),\"\",IF(AND(ISBLANK(D220),ISNUMBER(E220)),Lookup!$C$11,IF(AND(D220=\"Yes\",ISBLANK(E220)),Lookup!$C$12,IF(AND(D220=\"Yes\",E220>=C220),Lookup!$C$7,IF(AND(D220=\"No\",E220>=C220),Lookup!$C$8,IF(AND(D220=\"Yes\",E220<C220),Lookup!$C$9,IF(AND(D220=\"No\",E220<C220),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},64.66,null,null,{"$f":"IF(ISNUMBER(G220),IF(OR(AND(ISBLANK(H220),ISBLANK(I220)),AND(H220=\"No\",ISBLANK(I220))),\"\",IF(AND(ISBLANK(H220),ISNUMBER(I220)),Lookup!$C$11,IF(AND(H220=\"Yes\",ISBLANK(I220)),Lookup!$C$12,IF(AND(H220=\"Yes\",I220>=G220),Lookup!$C$7,IF(AND(H220=\"No\",I220>=G220),Lookup!$C$8,IF(AND(H220=\"Yes\",I220<G220),Lookup!$C$9,IF(AND(H220=\"No\",I220<G220),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,63.48,null,{"$f":"IF(ISNUMBER(L220),IF(ISBLANK(M220),\"\",IF(M220>=L220,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},63.48,null,{"$f":"IF(ISNUMBER(O220),IF(ISBLANK(P220),\"\",IF(P220>=O220,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95250,"Cont gluc mntr phys/qhp eqp",146.22999999999999,null,null,{"$f":"IF(ISNUMBER(C221),IF(OR(AND(ISBLANK(D221),ISBLANK(E221)),AND(D221=\"No\",ISBLANK(E221))),\"\",IF(AND(ISBLANK(D221),ISNUMBER(E221)),Lookup!$C$11,IF(AND(D221=\"Yes\",ISBLANK(E221)),Lookup!$C$12,IF(AND(D221=\"Yes\",E221>=C221),Lookup!$C$7,IF(AND(D221=\"No\",E221>=C221),Lookup!$C$8,IF(AND(D221=\"Yes\",E221<C221),Lookup!$C$9,IF(AND(D221=\"No\",E221<C221),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},146.22999999999999,null,null,{"$f":"IF(ISNUMBER(G221),IF(OR(AND(ISBLANK(H221),ISBLANK(I221)),AND(H221=\"No\",ISBLANK(I221))),\"\",IF(AND(ISBLANK(H221),ISNUMBER(I221)),Lookup!$C$11,IF(AND(H221=\"Yes\",ISBLANK(I221)),Lookup!$C$12,IF(AND(H221=\"Yes\",I221>=G221),Lookup!$C$7,IF(AND(H221=\"No\",I221>=G221),Lookup!$C$8,IF(AND(H221=\"Yes\",I221<G221),Lookup!$C$9,IF(AND(H221=\"No\",I221<G221),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,138.24,null,{"$f":"IF(ISNUMBER(L221),IF(ISBLANK(M221),\"\",IF(M221>=L221,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},138.24,null,{"$f":"IF(ISNUMBER(O221),IF(ISBLANK(P221),\"\",IF(P221>=O221,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[95251,"Cont gluc mntr analysis i&r",34.35,null,null,{"$f":"IF(ISNUMBER(C222),IF(OR(AND(ISBLANK(D222),ISBLANK(E222)),AND(D222=\"No\",ISBLANK(E222))),\"\",IF(AND(ISBLANK(D222),ISNUMBER(E222)),Lookup!$C$11,IF(AND(D222=\"Yes\",ISBLANK(E222)),Lookup!$C$12,IF(AND(D222=\"Yes\",E222>=C222),Lookup!$C$7,IF(AND(D222=\"No\",E222>=C222),Lookup!$C$8,IF(AND(D222=\"Yes\",E222<C222),Lookup!$C$9,IF(AND(D222=\"No\",E222<C222),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},34.35,null,null,{"$f":"IF(ISNUMBER(G222),IF(OR(AND(ISBLANK(H222),ISBLANK(I222)),AND(H222=\"No\",ISBLANK(I222))),\"\",IF(AND(ISBLANK(H222),ISNUMBER(I222)),Lookup!$C$11,IF(AND(H222=\"Yes\",ISBLANK(I222)),Lookup!$C$12,IF(AND(H222=\"Yes\",I222>=G222),Lookup!$C$7,IF(AND(H222=\"No\",I222>=G222),Lookup!$C$8,IF(AND(H222=\"Yes\",I222<G222),Lookup!$C$9,IF(AND(H222=\"No\",I222<G222),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.380000000000003,null,{"$f":"IF(ISNUMBER(L222),IF(ISBLANK(M222),\"\",IF(M222>=L222,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.380000000000003,null,{"$f":"IF(ISNUMBER(O222),IF(ISBLANK(P222),\"\",IF(P222>=O222,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96015,"Assessment of aphasia","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C223),IF(OR(AND(ISBLANK(D223),ISBLANK(E223)),AND(D223=\"No\",ISBLANK(E223))),\"\",IF(AND(ISBLANK(D223),ISNUMBER(E223)),Lookup!$C$11,IF(AND(D223=\"Yes\",ISBLANK(E223)),Lookup!$C$12,IF(AND(D223=\"Yes\",E223>=C223),Lookup!$C$7,IF(AND(D223=\"No\",E223>=C223),Lookup!$C$8,IF(AND(D223=\"Yes\",E223<C223),Lookup!$C$9,IF(AND(D223=\"No\",E223<C223),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G223),IF(OR(AND(ISBLANK(H223),ISBLANK(I223)),AND(H223=\"No\",ISBLANK(I223))),\"\",IF(AND(ISBLANK(H223),ISNUMBER(I223)),Lookup!$C$11,IF(AND(H223=\"Yes\",ISBLANK(I223)),Lookup!$C$12,IF(AND(H223=\"Yes\",I223>=G223),Lookup!$C$7,IF(AND(H223=\"No\",I223>=G223),Lookup!$C$8,IF(AND(H223=\"Yes\",I223<G223),Lookup!$C$9,IF(AND(H223=\"No\",I223<G223),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L223),IF(ISBLANK(M223),\"\",IF(M223>=L223,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O223),IF(ISBLANK(P223),\"\",IF(P223>=O223,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96105,"Physician or licensed speech pathologist, evaluates the Pt for aphasia",95.99,null,null,{"$f":"IF(ISNUMBER(C224),IF(OR(AND(ISBLANK(D224),ISBLANK(E224)),AND(D224=\"No\",ISBLANK(E224))),\"\",IF(AND(ISBLANK(D224),ISNUMBER(E224)),Lookup!$C$11,IF(AND(D224=\"Yes\",ISBLANK(E224)),Lookup!$C$12,IF(AND(D224=\"Yes\",E224>=C224),Lookup!$C$7,IF(AND(D224=\"No\",E224>=C224),Lookup!$C$8,IF(AND(D224=\"Yes\",E224<C224),Lookup!$C$9,IF(AND(D224=\"No\",E224<C224),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},95.99,null,null,{"$f":"IF(ISNUMBER(G224),IF(OR(AND(ISBLANK(H224),ISBLANK(I224)),AND(H224=\"No\",ISBLANK(I224))),\"\",IF(AND(ISBLANK(H224),ISNUMBER(I224)),Lookup!$C$11,IF(AND(H224=\"Yes\",ISBLANK(I224)),Lookup!$C$12,IF(AND(H224=\"Yes\",I224>=G224),Lookup!$C$7,IF(AND(H224=\"No\",I224>=G224),Lookup!$C$8,IF(AND(H224=\"Yes\",I224<G224),Lookup!$C$9,IF(AND(H224=\"No\",I224<G224),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,93.93,null,{"$f":"IF(ISNUMBER(L224),IF(ISBLANK(M224),\"\",IF(M224>=L224,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},93.93,null,{"$f":"IF(ISNUMBER(O224),IF(ISBLANK(P224),\"\",IF(P224>=O224,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96110,"Developmental Screen W/Score","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C225),IF(OR(AND(ISBLANK(D225),ISBLANK(E225)),AND(D225=\"No\",ISBLANK(E225))),\"\",IF(AND(ISBLANK(D225),ISNUMBER(E225)),Lookup!$C$11,IF(AND(D225=\"Yes\",ISBLANK(E225)),Lookup!$C$12,IF(AND(D225=\"Yes\",E225>=C225),Lookup!$C$7,IF(AND(D225=\"No\",E225>=C225),Lookup!$C$8,IF(AND(D225=\"Yes\",E225<C225),Lookup!$C$9,IF(AND(D225=\"No\",E225<C225),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G225),IF(OR(AND(ISBLANK(H225),ISBLANK(I225)),AND(H225=\"No\",ISBLANK(I225))),\"\",IF(AND(ISBLANK(H225),ISNUMBER(I225)),Lookup!$C$11,IF(AND(H225=\"Yes\",ISBLANK(I225)),Lookup!$C$12,IF(AND(H225=\"Yes\",I225>=G225),Lookup!$C$7,IF(AND(H225=\"No\",I225>=G225),Lookup!$C$8,IF(AND(H225=\"Yes\",I225<G225),Lookup!$C$9,IF(AND(H225=\"No\",I225<G225),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L225),IF(ISBLANK(M225),\"\",IF(M225>=L225,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O225),IF(ISBLANK(P225),\"\",IF(P225>=O225,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96127,"Brief Emotional/Behav Assmt",4.6100000000000003,null,null,{"$f":"IF(ISNUMBER(C226),IF(OR(AND(ISBLANK(D226),ISBLANK(E226)),AND(D226=\"No\",ISBLANK(E226))),\"\",IF(AND(ISBLANK(D226),ISNUMBER(E226)),Lookup!$C$11,IF(AND(D226=\"Yes\",ISBLANK(E226)),Lookup!$C$12,IF(AND(D226=\"Yes\",E226>=C226),Lookup!$C$7,IF(AND(D226=\"No\",E226>=C226),Lookup!$C$8,IF(AND(D226=\"Yes\",E226<C226),Lookup!$C$9,IF(AND(D226=\"No\",E226<C226),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},4.6100000000000003,null,null,{"$f":"IF(ISNUMBER(G226),IF(OR(AND(ISBLANK(H226),ISBLANK(I226)),AND(H226=\"No\",ISBLANK(I226))),\"\",IF(AND(ISBLANK(H226),ISNUMBER(I226)),Lookup!$C$11,IF(AND(H226=\"Yes\",ISBLANK(I226)),Lookup!$C$12,IF(AND(H226=\"Yes\",I226>=G226),Lookup!$C$7,IF(AND(H226=\"No\",I226>=G226),Lookup!$C$8,IF(AND(H226=\"Yes\",I226<G226),Lookup!$C$9,IF(AND(H226=\"No\",I226<G226),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,4.4800000000000004,null,{"$f":"IF(ISNUMBER(L226),IF(ISBLANK(M226),\"\",IF(M226>=L226,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},4.4800000000000004,null,{"$f":"IF(ISNUMBER(O226),IF(ISBLANK(P226),\"\",IF(P226>=O226,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96130,"Psychological testing evaluation services by physician or other QHP",120.15,null,null,{"$f":"IF(ISNUMBER(C227),IF(OR(AND(ISBLANK(D227),ISBLANK(E227)),AND(D227=\"No\",ISBLANK(E227))),\"\",IF(AND(ISBLANK(D227),ISNUMBER(E227)),Lookup!$C$11,IF(AND(D227=\"Yes\",ISBLANK(E227)),Lookup!$C$12,IF(AND(D227=\"Yes\",E227>=C227),Lookup!$C$7,IF(AND(D227=\"No\",E227>=C227),Lookup!$C$8,IF(AND(D227=\"Yes\",E227<C227),Lookup!$C$9,IF(AND(D227=\"No\",E227<C227),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},120.15,null,null,{"$f":"IF(ISNUMBER(G227),IF(OR(AND(ISBLANK(H227),ISBLANK(I227)),AND(H227=\"No\",ISBLANK(I227))),\"\",IF(AND(ISBLANK(H227),ISNUMBER(I227)),Lookup!$C$11,IF(AND(H227=\"Yes\",ISBLANK(I227)),Lookup!$C$12,IF(AND(H227=\"Yes\",I227>=G227),Lookup!$C$7,IF(AND(H227=\"No\",I227>=G227),Lookup!$C$8,IF(AND(H227=\"Yes\",I227<G227),Lookup!$C$9,IF(AND(H227=\"No\",I227<G227),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,117.71,null,{"$f":"IF(ISNUMBER(L227),IF(ISBLANK(M227),\"\",IF(M227>=L227,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},117.71,null,{"$f":"IF(ISNUMBER(O227),IF(ISBLANK(P227),\"\",IF(P227>=O227,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96131,"Psychological and Neuropsychological Testing Evaluation Services",85.9,null,null,{"$f":"IF(ISNUMBER(C228),IF(OR(AND(ISBLANK(D228),ISBLANK(E228)),AND(D228=\"No\",ISBLANK(E228))),\"\",IF(AND(ISBLANK(D228),ISNUMBER(E228)),Lookup!$C$11,IF(AND(D228=\"Yes\",ISBLANK(E228)),Lookup!$C$12,IF(AND(D228=\"Yes\",E228>=C228),Lookup!$C$7,IF(AND(D228=\"No\",E228>=C228),Lookup!$C$8,IF(AND(D228=\"Yes\",E228<C228),Lookup!$C$9,IF(AND(D228=\"No\",E228<C228),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},85.9,null,null,{"$f":"IF(ISNUMBER(G228),IF(OR(AND(ISBLANK(H228),ISBLANK(I228)),AND(H228=\"No\",ISBLANK(I228))),\"\",IF(AND(ISBLANK(H228),ISNUMBER(I228)),Lookup!$C$11,IF(AND(H228=\"Yes\",ISBLANK(I228)),Lookup!$C$12,IF(AND(H228=\"Yes\",I228>=G228),Lookup!$C$7,IF(AND(H228=\"No\",I228>=G228),Lookup!$C$8,IF(AND(H228=\"Yes\",I228<G228),Lookup!$C$9,IF(AND(H228=\"No\",I228<G228),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,83.17,null,{"$f":"IF(ISNUMBER(L228),IF(ISBLANK(M228),\"\",IF(M228>=L228,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},83.17,null,{"$f":"IF(ISNUMBER(O228),IF(ISBLANK(P228),\"\",IF(P228>=O228,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96132,"Neuropsychological testing evaluation services by physician or other QHP",128.44999999999999,null,null,{"$f":"IF(ISNUMBER(C229),IF(OR(AND(ISBLANK(D229),ISBLANK(E229)),AND(D229=\"No\",ISBLANK(E229))),\"\",IF(AND(ISBLANK(D229),ISNUMBER(E229)),Lookup!$C$11,IF(AND(D229=\"Yes\",ISBLANK(E229)),Lookup!$C$12,IF(AND(D229=\"Yes\",E229>=C229),Lookup!$C$7,IF(AND(D229=\"No\",E229>=C229),Lookup!$C$8,IF(AND(D229=\"Yes\",E229<C229),Lookup!$C$9,IF(AND(D229=\"No\",E229<C229),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},128.44999999999999,null,null,{"$f":"IF(ISNUMBER(G229),IF(OR(AND(ISBLANK(H229),ISBLANK(I229)),AND(H229=\"No\",ISBLANK(I229))),\"\",IF(AND(ISBLANK(H229),ISNUMBER(I229)),Lookup!$C$11,IF(AND(H229=\"Yes\",ISBLANK(I229)),Lookup!$C$12,IF(AND(H229=\"Yes\",I229>=G229),Lookup!$C$7,IF(AND(H229=\"No\",I229>=G229),Lookup!$C$8,IF(AND(H229=\"Yes\",I229<G229),Lookup!$C$9,IF(AND(H229=\"No\",I229<G229),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,125.45,null,{"$f":"IF(ISNUMBER(L229),IF(ISBLANK(M229),\"\",IF(M229>=L229,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},125.45,null,{"$f":"IF(ISNUMBER(O229),IF(ISBLANK(P229),\"\",IF(P229>=O229,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96133,"Psychological and Neuropsychological Testing Evaluation Service",97.46,null,null,{"$f":"IF(ISNUMBER(C230),IF(OR(AND(ISBLANK(D230),ISBLANK(E230)),AND(D230=\"No\",ISBLANK(E230))),\"\",IF(AND(ISBLANK(D230),ISNUMBER(E230)),Lookup!$C$11,IF(AND(D230=\"Yes\",ISBLANK(E230)),Lookup!$C$12,IF(AND(D230=\"Yes\",E230>=C230),Lookup!$C$7,IF(AND(D230=\"No\",E230>=C230),Lookup!$C$8,IF(AND(D230=\"Yes\",E230<C230),Lookup!$C$9,IF(AND(D230=\"No\",E230<C230),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},97.46,null,null,{"$f":"IF(ISNUMBER(G230),IF(OR(AND(ISBLANK(H230),ISBLANK(I230)),AND(H230=\"No\",ISBLANK(I230))),\"\",IF(AND(ISBLANK(H230),ISNUMBER(I230)),Lookup!$C$11,IF(AND(H230=\"Yes\",ISBLANK(I230)),Lookup!$C$12,IF(AND(H230=\"Yes\",I230>=G230),Lookup!$C$7,IF(AND(H230=\"No\",I230>=G230),Lookup!$C$8,IF(AND(H230=\"Yes\",I230<G230),Lookup!$C$9,IF(AND(H230=\"No\",I230<G230),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,93.76,null,{"$f":"IF(ISNUMBER(L230),IF(ISBLANK(M230),\"\",IF(M230>=L230,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},93.76,null,{"$f":"IF(ISNUMBER(O230),IF(ISBLANK(P230),\"\",IF(P230>=O230,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96150,"Assess health/ Behavioral assessment","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C231),IF(OR(AND(ISBLANK(D231),ISBLANK(E231)),AND(D231=\"No\",ISBLANK(E231))),\"\",IF(AND(ISBLANK(D231),ISNUMBER(E231)),Lookup!$C$11,IF(AND(D231=\"Yes\",ISBLANK(E231)),Lookup!$C$12,IF(AND(D231=\"Yes\",E231>=C231),Lookup!$C$7,IF(AND(D231=\"No\",E231>=C231),Lookup!$C$8,IF(AND(D231=\"Yes\",E231<C231),Lookup!$C$9,IF(AND(D231=\"No\",E231<C231),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G231),IF(OR(AND(ISBLANK(H231),ISBLANK(I231)),AND(H231=\"No\",ISBLANK(I231))),\"\",IF(AND(ISBLANK(H231),ISNUMBER(I231)),Lookup!$C$11,IF(AND(H231=\"Yes\",ISBLANK(I231)),Lookup!$C$12,IF(AND(H231=\"Yes\",I231>=G231),Lookup!$C$7,IF(AND(H231=\"No\",I231>=G231),Lookup!$C$8,IF(AND(H231=\"Yes\",I231<G231),Lookup!$C$9,IF(AND(H231=\"No\",I231<G231),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L231),IF(ISBLANK(M231),\"\",IF(M231>=L231,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O231),IF(ISBLANK(P231),\"\",IF(P231>=O231,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96151,"Assessment Health/ Behavioral subsequent","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C232),IF(OR(AND(ISBLANK(D232),ISBLANK(E232)),AND(D232=\"No\",ISBLANK(E232))),\"\",IF(AND(ISBLANK(D232),ISNUMBER(E232)),Lookup!$C$11,IF(AND(D232=\"Yes\",ISBLANK(E232)),Lookup!$C$12,IF(AND(D232=\"Yes\",E232>=C232),Lookup!$C$7,IF(AND(D232=\"No\",E232>=C232),Lookup!$C$8,IF(AND(D232=\"Yes\",E232<C232),Lookup!$C$9,IF(AND(D232=\"No\",E232<C232),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G232),IF(OR(AND(ISBLANK(H232),ISBLANK(I232)),AND(H232=\"No\",ISBLANK(I232))),\"\",IF(AND(ISBLANK(H232),ISNUMBER(I232)),Lookup!$C$11,IF(AND(H232=\"Yes\",ISBLANK(I232)),Lookup!$C$12,IF(AND(H232=\"Yes\",I232>=G232),Lookup!$C$7,IF(AND(H232=\"No\",I232>=G232),Lookup!$C$8,IF(AND(H232=\"Yes\",I232<G232),Lookup!$C$9,IF(AND(H232=\"No\",I232<G232),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L232),IF(ISBLANK(M232),\"\",IF(M232>=L232,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O232),IF(ISBLANK(P232),\"\",IF(P232>=O232,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96156,"Health Behavior Assessment Or Re-Assessment",99.22,null,null,{"$f":"IF(ISNUMBER(C233),IF(OR(AND(ISBLANK(D233),ISBLANK(E233)),AND(D233=\"No\",ISBLANK(E233))),\"\",IF(AND(ISBLANK(D233),ISNUMBER(E233)),Lookup!$C$11,IF(AND(D233=\"Yes\",ISBLANK(E233)),Lookup!$C$12,IF(AND(D233=\"Yes\",E233>=C233),Lookup!$C$7,IF(AND(D233=\"No\",E233>=C233),Lookup!$C$8,IF(AND(D233=\"Yes\",E233<C233),Lookup!$C$9,IF(AND(D233=\"No\",E233<C233),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},99.22,null,null,{"$f":"IF(ISNUMBER(G233),IF(OR(AND(ISBLANK(H233),ISBLANK(I233)),AND(H233=\"No\",ISBLANK(I233))),\"\",IF(AND(ISBLANK(H233),ISNUMBER(I233)),Lookup!$C$11,IF(AND(H233=\"Yes\",ISBLANK(I233)),Lookup!$C$12,IF(AND(H233=\"Yes\",I233>=G233),Lookup!$C$7,IF(AND(H233=\"No\",I233>=G233),Lookup!$C$8,IF(AND(H233=\"Yes\",I233<G233),Lookup!$C$9,IF(AND(H233=\"No\",I233<G233),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,99.37,null,{"$f":"IF(ISNUMBER(L233),IF(ISBLANK(M233),\"\",IF(M233>=L233,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},99.37,null,{"$f":"IF(ISNUMBER(O233),IF(ISBLANK(P233),\"\",IF(P233>=O233,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96158,"Health Behavior Intervention, Individual Face-To-Face 30 Min",67.180000000000007,null,null,{"$f":"IF(ISNUMBER(C234),IF(OR(AND(ISBLANK(D234),ISBLANK(E234)),AND(D234=\"No\",ISBLANK(E234))),\"\",IF(AND(ISBLANK(D234),ISNUMBER(E234)),Lookup!$C$11,IF(AND(D234=\"Yes\",ISBLANK(E234)),Lookup!$C$12,IF(AND(D234=\"Yes\",E234>=C234),Lookup!$C$7,IF(AND(D234=\"No\",E234>=C234),Lookup!$C$8,IF(AND(D234=\"Yes\",E234<C234),Lookup!$C$9,IF(AND(D234=\"No\",E234<C234),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},67.180000000000007,null,null,{"$f":"IF(ISNUMBER(G234),IF(OR(AND(ISBLANK(H234),ISBLANK(I234)),AND(H234=\"No\",ISBLANK(I234))),\"\",IF(AND(ISBLANK(H234),ISNUMBER(I234)),Lookup!$C$11,IF(AND(H234=\"Yes\",ISBLANK(I234)),Lookup!$C$12,IF(AND(H234=\"Yes\",I234>=G234),Lookup!$C$7,IF(AND(H234=\"No\",I234>=G234),Lookup!$C$8,IF(AND(H234=\"Yes\",I234<G234),Lookup!$C$9,IF(AND(H234=\"No\",I234<G234),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,68.2,null,{"$f":"IF(ISNUMBER(L234),IF(ISBLANK(M234),\"\",IF(M234>=L234,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},68.2,null,{"$f":"IF(ISNUMBER(O234),IF(ISBLANK(P234),\"\",IF(P234>=O234,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96159,"Health Behavior Intervention, Individual Face-To-Face 15 Min ",22.73,null,null,{"$f":"IF(ISNUMBER(C235),IF(OR(AND(ISBLANK(D235),ISBLANK(E235)),AND(D235=\"No\",ISBLANK(E235))),\"\",IF(AND(ISBLANK(D235),ISNUMBER(E235)),Lookup!$C$11,IF(AND(D235=\"Yes\",ISBLANK(E235)),Lookup!$C$12,IF(AND(D235=\"Yes\",E235>=C235),Lookup!$C$7,IF(AND(D235=\"No\",E235>=C235),Lookup!$C$8,IF(AND(D235=\"Yes\",E235<C235),Lookup!$C$9,IF(AND(D235=\"No\",E235<C235),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},22.73,null,null,{"$f":"IF(ISNUMBER(G235),IF(OR(AND(ISBLANK(H235),ISBLANK(I235)),AND(H235=\"No\",ISBLANK(I235))),\"\",IF(AND(ISBLANK(H235),ISNUMBER(I235)),Lookup!$C$11,IF(AND(H235=\"Yes\",ISBLANK(I235)),Lookup!$C$12,IF(AND(H235=\"Yes\",I235>=G235),Lookup!$C$7,IF(AND(H235=\"No\",I235>=G235),Lookup!$C$8,IF(AND(H235=\"Yes\",I235<G235),Lookup!$C$9,IF(AND(H235=\"No\",I235<G235),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,23.39,null,{"$f":"IF(ISNUMBER(L235),IF(ISBLANK(M235),\"\",IF(M235>=L235,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},23.39,null,{"$f":"IF(ISNUMBER(O235),IF(ISBLANK(P235),\"\",IF(P235>=O235,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96160,"Pt-Focused Hlth Risk Assmt",2.97,null,null,{"$f":"IF(ISNUMBER(C236),IF(OR(AND(ISBLANK(D236),ISBLANK(E236)),AND(D236=\"No\",ISBLANK(E236))),\"\",IF(AND(ISBLANK(D236),ISNUMBER(E236)),Lookup!$C$11,IF(AND(D236=\"Yes\",ISBLANK(E236)),Lookup!$C$12,IF(AND(D236=\"Yes\",E236>=C236),Lookup!$C$7,IF(AND(D236=\"No\",E236>=C236),Lookup!$C$8,IF(AND(D236=\"Yes\",E236<C236),Lookup!$C$9,IF(AND(D236=\"No\",E236<C236),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},2.97,null,null,{"$f":"IF(ISNUMBER(G236),IF(OR(AND(ISBLANK(H236),ISBLANK(I236)),AND(H236=\"No\",ISBLANK(I236))),\"\",IF(AND(ISBLANK(H236),ISNUMBER(I236)),Lookup!$C$11,IF(AND(H236=\"Yes\",ISBLANK(I236)),Lookup!$C$12,IF(AND(H236=\"Yes\",I236>=G236),Lookup!$C$7,IF(AND(H236=\"No\",I236>=G236),Lookup!$C$8,IF(AND(H236=\"Yes\",I236<G236),Lookup!$C$9,IF(AND(H236=\"No\",I236<G236),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,2.89,null,{"$f":"IF(ISNUMBER(L236),IF(ISBLANK(M236),\"\",IF(M236>=L236,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},2.89,null,{"$f":"IF(ISNUMBER(O236),IF(ISBLANK(P236),\"\",IF(P236>=O236,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96161,"Caregiver Health Risk Assmt",2.97,null,null,{"$f":"IF(ISNUMBER(C237),IF(OR(AND(ISBLANK(D237),ISBLANK(E237)),AND(D237=\"No\",ISBLANK(E237))),\"\",IF(AND(ISBLANK(D237),ISNUMBER(E237)),Lookup!$C$11,IF(AND(D237=\"Yes\",ISBLANK(E237)),Lookup!$C$12,IF(AND(D237=\"Yes\",E237>=C237),Lookup!$C$7,IF(AND(D237=\"No\",E237>=C237),Lookup!$C$8,IF(AND(D237=\"Yes\",E237<C237),Lookup!$C$9,IF(AND(D237=\"No\",E237<C237),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},2.97,null,null,{"$f":"IF(ISNUMBER(G237),IF(OR(AND(ISBLANK(H237),ISBLANK(I237)),AND(H237=\"No\",ISBLANK(I237))),\"\",IF(AND(ISBLANK(H237),ISNUMBER(I237)),Lookup!$C$11,IF(AND(H237=\"Yes\",ISBLANK(I237)),Lookup!$C$12,IF(AND(H237=\"Yes\",I237>=G237),Lookup!$C$7,IF(AND(H237=\"No\",I237>=G237),Lookup!$C$8,IF(AND(H237=\"Yes\",I237<G237),Lookup!$C$9,IF(AND(H237=\"No\",I237<G237),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,2.89,null,{"$f":"IF(ISNUMBER(L237),IF(ISBLANK(M237),\"\",IF(M237>=L237,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},2.89,null,{"$f":"IF(ISNUMBER(O237),IF(ISBLANK(P237),\"\",IF(P237>=O237,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96164,"Health Behavior Intervention, Group (2<) Face-To-Face 30 Min",10.35,null,null,{"$f":"IF(ISNUMBER(C238),IF(OR(AND(ISBLANK(D238),ISBLANK(E238)),AND(D238=\"No\",ISBLANK(E238))),\"\",IF(AND(ISBLANK(D238),ISNUMBER(E238)),Lookup!$C$11,IF(AND(D238=\"Yes\",ISBLANK(E238)),Lookup!$C$12,IF(AND(D238=\"Yes\",E238>=C238),Lookup!$C$7,IF(AND(D238=\"No\",E238>=C238),Lookup!$C$8,IF(AND(D238=\"Yes\",E238<C238),Lookup!$C$9,IF(AND(D238=\"No\",E238<C238),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},10.35,null,null,{"$f":"IF(ISNUMBER(G238),IF(OR(AND(ISBLANK(H238),ISBLANK(I238)),AND(H238=\"No\",ISBLANK(I238))),\"\",IF(AND(ISBLANK(H238),ISNUMBER(I238)),Lookup!$C$11,IF(AND(H238=\"Yes\",ISBLANK(I238)),Lookup!$C$12,IF(AND(H238=\"Yes\",I238>=G238),Lookup!$C$7,IF(AND(H238=\"No\",I238>=G238),Lookup!$C$8,IF(AND(H238=\"Yes\",I238<G238),Lookup!$C$9,IF(AND(H238=\"No\",I238<G238),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,10.38,null,{"$f":"IF(ISNUMBER(L238),IF(ISBLANK(M238),\"\",IF(M238>=L238,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},10.38,null,{"$f":"IF(ISNUMBER(O238),IF(ISBLANK(P238),\"\",IF(P238>=O238,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96165,"Health Behavior Intervention, Group (2<) Face-To-Face 15 Min",4.68,null,null,{"$f":"IF(ISNUMBER(C239),IF(OR(AND(ISBLANK(D239),ISBLANK(E239)),AND(D239=\"No\",ISBLANK(E239))),\"\",IF(AND(ISBLANK(D239),ISNUMBER(E239)),Lookup!$C$11,IF(AND(D239=\"Yes\",ISBLANK(E239)),Lookup!$C$12,IF(AND(D239=\"Yes\",E239>=C239),Lookup!$C$7,IF(AND(D239=\"No\",E239>=C239),Lookup!$C$8,IF(AND(D239=\"Yes\",E239<C239),Lookup!$C$9,IF(AND(D239=\"No\",E239<C239),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},4.68,null,null,{"$f":"IF(ISNUMBER(G239),IF(OR(AND(ISBLANK(H239),ISBLANK(I239)),AND(H239=\"No\",ISBLANK(I239))),\"\",IF(AND(ISBLANK(H239),ISNUMBER(I239)),Lookup!$C$11,IF(AND(H239=\"Yes\",ISBLANK(I239)),Lookup!$C$12,IF(AND(H239=\"Yes\",I239>=G239),Lookup!$C$7,IF(AND(H239=\"No\",I239>=G239),Lookup!$C$8,IF(AND(H239=\"Yes\",I239<G239),Lookup!$C$9,IF(AND(H239=\"No\",I239<G239),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,4.87,null,{"$f":"IF(ISNUMBER(L239),IF(ISBLANK(M239),\"\",IF(M239>=L239,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},4.87,null,{"$f":"IF(ISNUMBER(O239),IF(ISBLANK(P239),\"\",IF(P239>=O239,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96167,"Health Behavior Intervention, Family (W/ Pt) Face-To-Face 30 Min",70.86,null,null,{"$f":"IF(ISNUMBER(C240),IF(OR(AND(ISBLANK(D240),ISBLANK(E240)),AND(D240=\"No\",ISBLANK(E240))),\"\",IF(AND(ISBLANK(D240),ISNUMBER(E240)),Lookup!$C$11,IF(AND(D240=\"Yes\",ISBLANK(E240)),Lookup!$C$12,IF(AND(D240=\"Yes\",E240>=C240),Lookup!$C$7,IF(AND(D240=\"No\",E240>=C240),Lookup!$C$8,IF(AND(D240=\"Yes\",E240<C240),Lookup!$C$9,IF(AND(D240=\"No\",E240<C240),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.86,null,null,{"$f":"IF(ISNUMBER(G240),IF(OR(AND(ISBLANK(H240),ISBLANK(I240)),AND(H240=\"No\",ISBLANK(I240))),\"\",IF(AND(ISBLANK(H240),ISNUMBER(I240)),Lookup!$C$11,IF(AND(H240=\"Yes\",ISBLANK(I240)),Lookup!$C$12,IF(AND(H240=\"Yes\",I240>=G240),Lookup!$C$7,IF(AND(H240=\"No\",I240>=G240),Lookup!$C$8,IF(AND(H240=\"Yes\",I240<G240),Lookup!$C$9,IF(AND(H240=\"No\",I240<G240),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,72.430000000000007,null,{"$f":"IF(ISNUMBER(L240),IF(ISBLANK(M240),\"\",IF(M240>=L240,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},72.430000000000007,null,{"$f":"IF(ISNUMBER(O240),IF(ISBLANK(P240),\"\",IF(P240>=O240,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96168,"Health Behavior Intervention, Family (W/ Pt) Face-To-Face 15 Min",25.41,null,null,{"$f":"IF(ISNUMBER(C241),IF(OR(AND(ISBLANK(D241),ISBLANK(E241)),AND(D241=\"No\",ISBLANK(E241))),\"\",IF(AND(ISBLANK(D241),ISNUMBER(E241)),Lookup!$C$11,IF(AND(D241=\"Yes\",ISBLANK(E241)),Lookup!$C$12,IF(AND(D241=\"Yes\",E241>=C241),Lookup!$C$7,IF(AND(D241=\"No\",E241>=C241),Lookup!$C$8,IF(AND(D241=\"Yes\",E241<C241),Lookup!$C$9,IF(AND(D241=\"No\",E241<C241),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},25.41,null,null,{"$f":"IF(ISNUMBER(G241),IF(OR(AND(ISBLANK(H241),ISBLANK(I241)),AND(H241=\"No\",ISBLANK(I241))),\"\",IF(AND(ISBLANK(H241),ISNUMBER(I241)),Lookup!$C$11,IF(AND(H241=\"Yes\",ISBLANK(I241)),Lookup!$C$12,IF(AND(H241=\"Yes\",I241>=G241),Lookup!$C$7,IF(AND(H241=\"No\",I241>=G241),Lookup!$C$8,IF(AND(H241=\"Yes\",I241<G241),Lookup!$C$9,IF(AND(H241=\"No\",I241<G241),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,25.97,null,{"$f":"IF(ISNUMBER(L241),IF(ISBLANK(M241),\"\",IF(M241>=L241,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},25.97,null,{"$f":"IF(ISNUMBER(O241),IF(ISBLANK(P241),\"\",IF(P241>=O241,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[96170,"Health Behavior Intervention, Family (W/Out Pt) Face-To-Face 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C242),IF(OR(AND(ISBLANK(D242),ISBLANK(E242)),AND(D242=\"No\",ISBLANK(E242))),\"\",IF(AND(ISBLANK(D242),ISNUMBER(E242)),Lookup!$C$11,IF(AND(D242=\"Yes\",ISBLANK(E242)),Lookup!$C$12,IF(AND(D242=\"Yes\",E242>=C242),Lookup!$C$7,IF(AND(D242=\"No\",E242>=C242),Lookup!$C$8,IF(AND(D242=\"Yes\",E242<C242),Lookup!$C$9,IF(AND(D242=\"No\",E242<C242),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G242),IF(OR(AND(ISBLANK(H242),ISBLANK(I242)),AND(H242=\"No\",ISBLANK(I242))),\"\",IF(AND(ISBLANK(H242),ISNUMBER(I242)),Lookup!$C$11,IF(AND(H242=\"Yes\",ISBLANK(I242)),Lookup!$C$12,IF(AND(H242=\"Yes\",I242>=G242),Lookup!$C$7,IF(AND(H242=\"No\",I242>=G242),Lookup!$C$8,IF(AND(H242=\"Yes\",I242<G242),Lookup!$C$9,IF(AND(H242=\"No\",I242<G242),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L242),IF(ISBLANK(M242),\"\",IF(M242>=L242,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O242),IF(ISBLANK(P242),\"\",IF(P242>=O242,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96171,"Health Behavior Intervention, Family (W/Out Pt), Face-To-Face 15 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C243),IF(OR(AND(ISBLANK(D243),ISBLANK(E243)),AND(D243=\"No\",ISBLANK(E243))),\"\",IF(AND(ISBLANK(D243),ISNUMBER(E243)),Lookup!$C$11,IF(AND(D243=\"Yes\",ISBLANK(E243)),Lookup!$C$12,IF(AND(D243=\"Yes\",E243>=C243),Lookup!$C$7,IF(AND(D243=\"No\",E243>=C243),Lookup!$C$8,IF(AND(D243=\"Yes\",E243<C243),Lookup!$C$9,IF(AND(D243=\"No\",E243<C243),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G243),IF(OR(AND(ISBLANK(H243),ISBLANK(I243)),AND(H243=\"No\",ISBLANK(I243))),\"\",IF(AND(ISBLANK(H243),ISNUMBER(I243)),Lookup!$C$11,IF(AND(H243=\"Yes\",ISBLANK(I243)),Lookup!$C$12,IF(AND(H243=\"Yes\",I243>=G243),Lookup!$C$7,IF(AND(H243=\"No\",I243>=G243),Lookup!$C$8,IF(AND(H243=\"Yes\",I243<G243),Lookup!$C$9,IF(AND(H243=\"No\",I243<G243),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L243),IF(ISBLANK(M243),\"\",IF(M243>=L243,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O243),IF(ISBLANK(P243),\"\",IF(P243>=O243,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[96372,"Ther/Proph/Diag Inj Sc/Im","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C244),IF(OR(AND(ISBLANK(D244),ISBLANK(E244)),AND(D244=\"No\",ISBLANK(E244))),\"\",IF(AND(ISBLANK(D244),ISNUMBER(E244)),Lookup!$C$11,IF(AND(D244=\"Yes\",ISBLANK(E244)),Lookup!$C$12,IF(AND(D244=\"Yes\",E244>=C244),Lookup!$C$7,IF(AND(D244=\"No\",E244>=C244),Lookup!$C$8,IF(AND(D244=\"Yes\",E244<C244),Lookup!$C$9,IF(AND(D244=\"No\",E244<C244),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G244),IF(OR(AND(ISBLANK(H244),ISBLANK(I244)),AND(H244=\"No\",ISBLANK(I244))),\"\",IF(AND(ISBLANK(H244),ISNUMBER(I244)),Lookup!$C$11,IF(AND(H244=\"Yes\",ISBLANK(I244)),Lookup!$C$12,IF(AND(H244=\"Yes\",I244>=G244),Lookup!$C$7,IF(AND(H244=\"No\",I244>=G244),Lookup!$C$8,IF(AND(H244=\"Yes\",I244<G244),Lookup!$C$9,IF(AND(H244=\"No\",I244<G244),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,13.88,null,{"$f":"IF(ISNUMBER(L244),IF(ISBLANK(M244),\"\",IF(M244>=L244,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.88,null,{"$f":"IF(ISNUMBER(O244),IF(ISBLANK(P244),\"\",IF(P244>=O244,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[97151,"Behavior Identification Assessment, Administered By QHP, Each 15 Min Of QHP’S Time","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C245),IF(OR(AND(ISBLANK(D245),ISBLANK(E245)),AND(D245=\"No\",ISBLANK(E245))),\"\",IF(AND(ISBLANK(D245),ISNUMBER(E245)),Lookup!$C$11,IF(AND(D245=\"Yes\",ISBLANK(E245)),Lookup!$C$12,IF(AND(D245=\"Yes\",E245>=C245),Lookup!$C$7,IF(AND(D245=\"No\",E245>=C245),Lookup!$C$8,IF(AND(D245=\"Yes\",E245<C245),Lookup!$C$9,IF(AND(D245=\"No\",E245<C245),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G245),IF(OR(AND(ISBLANK(H245),ISBLANK(I245)),AND(H245=\"No\",ISBLANK(I245))),\"\",IF(AND(ISBLANK(H245),ISNUMBER(I245)),Lookup!$C$11,IF(AND(H245=\"Yes\",ISBLANK(I245)),Lookup!$C$12,IF(AND(H245=\"Yes\",I245>=G245),Lookup!$C$7,IF(AND(H245=\"No\",I245>=G245),Lookup!$C$8,IF(AND(H245=\"Yes\",I245<G245),Lookup!$C$9,IF(AND(H245=\"No\",I245<G245),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L245),IF(ISBLANK(M245),\"\",IF(M245>=L245,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O245),IF(ISBLANK(P245),\"\",IF(P245>=O245,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[97152,"Behavior Identification-Supporting Assessment, Administered By One Technician Under The Direction Of A Physician Or Other Qualified Health Care Professional, Face-To-Face With The Pt, Each 15 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C246),IF(OR(AND(ISBLANK(D246),ISBLANK(E246)),AND(D246=\"No\",ISBLANK(E246))),\"\",IF(AND(ISBLANK(D246),ISNUMBER(E246)),Lookup!$C$11,IF(AND(D246=\"Yes\",ISBLANK(E246)),Lookup!$C$12,IF(AND(D246=\"Yes\",E246>=C246),Lookup!$C$7,IF(AND(D246=\"No\",E246>=C246),Lookup!$C$8,IF(AND(D246=\"Yes\",E246<C246),Lookup!$C$9,IF(AND(D246=\"No\",E246<C246),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G246),IF(OR(AND(ISBLANK(H246),ISBLANK(I246)),AND(H246=\"No\",ISBLANK(I246))),\"\",IF(AND(ISBLANK(H246),ISNUMBER(I246)),Lookup!$C$11,IF(AND(H246=\"Yes\",ISBLANK(I246)),Lookup!$C$12,IF(AND(H246=\"Yes\",I246>=G246),Lookup!$C$7,IF(AND(H246=\"No\",I246>=G246),Lookup!$C$8,IF(AND(H246=\"Yes\",I246<G246),Lookup!$C$9,IF(AND(H246=\"No\",I246<G246),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L246),IF(ISBLANK(M246),\"\",IF(M246>=L246,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O246),IF(ISBLANK(P246),\"\",IF(P246>=O246,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[97597,"Debridement Open Wound 20 Sq Cm/<",100.4,null,null,{"$f":"IF(ISNUMBER(C247),IF(OR(AND(ISBLANK(D247),ISBLANK(E247)),AND(D247=\"No\",ISBLANK(E247))),\"\",IF(AND(ISBLANK(D247),ISNUMBER(E247)),Lookup!$C$11,IF(AND(D247=\"Yes\",ISBLANK(E247)),Lookup!$C$12,IF(AND(D247=\"Yes\",E247>=C247),Lookup!$C$7,IF(AND(D247=\"No\",E247>=C247),Lookup!$C$8,IF(AND(D247=\"Yes\",E247<C247),Lookup!$C$9,IF(AND(D247=\"No\",E247<C247),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},100.4,null,null,{"$f":"IF(ISNUMBER(G247),IF(OR(AND(ISBLANK(H247),ISBLANK(I247)),AND(H247=\"No\",ISBLANK(I247))),\"\",IF(AND(ISBLANK(H247),ISNUMBER(I247)),Lookup!$C$11,IF(AND(H247=\"Yes\",ISBLANK(I247)),Lookup!$C$12,IF(AND(H247=\"Yes\",I247>=G247),Lookup!$C$7,IF(AND(H247=\"No\",I247>=G247),Lookup!$C$8,IF(AND(H247=\"Yes\",I247<G247),Lookup!$C$9,IF(AND(H247=\"No\",I247<G247),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,96.3,null,{"$f":"IF(ISNUMBER(L247),IF(ISBLANK(M247),\"\",IF(M247>=L247,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},96.3,null,{"$f":"IF(ISNUMBER(O247),IF(ISBLANK(P247),\"\",IF(P247>=O247,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[97602,"Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C248),IF(OR(AND(ISBLANK(D248),ISBLANK(E248)),AND(D248=\"No\",ISBLANK(E248))),\"\",IF(AND(ISBLANK(D248),ISNUMBER(E248)),Lookup!$C$11,IF(AND(D248=\"Yes\",ISBLANK(E248)),Lookup!$C$12,IF(AND(D248=\"Yes\",E248>=C248),Lookup!$C$7,IF(AND(D248=\"No\",E248>=C248),Lookup!$C$8,IF(AND(D248=\"Yes\",E248<C248),Lookup!$C$9,IF(AND(D248=\"No\",E248<C248),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G248),IF(OR(AND(ISBLANK(H248),ISBLANK(I248)),AND(H248=\"No\",ISBLANK(I248))),\"\",IF(AND(ISBLANK(H248),ISNUMBER(I248)),Lookup!$C$11,IF(AND(H248=\"Yes\",ISBLANK(I248)),Lookup!$C$12,IF(AND(H248=\"Yes\",I248>=G248),Lookup!$C$7,IF(AND(H248=\"No\",I248>=G248),Lookup!$C$8,IF(AND(H248=\"Yes\",I248<G248),Lookup!$C$9,IF(AND(H248=\"No\",I248<G248),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L248),IF(ISBLANK(M248),\"\",IF(M248>=L248,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O248),IF(ISBLANK(P248),\"\",IF(P248>=O248,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[97802,"Medical Nutrition Indiv In",36.28,null,null,{"$f":"IF(ISNUMBER(C249),IF(OR(AND(ISBLANK(D249),ISBLANK(E249)),AND(D249=\"No\",ISBLANK(E249))),\"\",IF(AND(ISBLANK(D249),ISNUMBER(E249)),Lookup!$C$11,IF(AND(D249=\"Yes\",ISBLANK(E249)),Lookup!$C$12,IF(AND(D249=\"Yes\",E249>=C249),Lookup!$C$7,IF(AND(D249=\"No\",E249>=C249),Lookup!$C$8,IF(AND(D249=\"Yes\",E249<C249),Lookup!$C$9,IF(AND(D249=\"No\",E249<C249),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},36.28,null,null,{"$f":"IF(ISNUMBER(G249),IF(OR(AND(ISBLANK(H249),ISBLANK(I249)),AND(H249=\"No\",ISBLANK(I249))),\"\",IF(AND(ISBLANK(H249),ISNUMBER(I249)),Lookup!$C$11,IF(AND(H249=\"Yes\",ISBLANK(I249)),Lookup!$C$12,IF(AND(H249=\"Yes\",I249>=G249),Lookup!$C$7,IF(AND(H249=\"No\",I249>=G249),Lookup!$C$8,IF(AND(H249=\"Yes\",I249<G249),Lookup!$C$9,IF(AND(H249=\"No\",I249<G249),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,35.57,null,{"$f":"IF(ISNUMBER(L249),IF(ISBLANK(M249),\"\",IF(M249>=L249,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},35.57,null,{"$f":"IF(ISNUMBER(O249),IF(ISBLANK(P249),\"\",IF(P249>=O249,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98960,"Self-Mgmt Educ & Train 1 Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C250),IF(OR(AND(ISBLANK(D250),ISBLANK(E250)),AND(D250=\"No\",ISBLANK(E250))),\"\",IF(AND(ISBLANK(D250),ISNUMBER(E250)),Lookup!$C$11,IF(AND(D250=\"Yes\",ISBLANK(E250)),Lookup!$C$12,IF(AND(D250=\"Yes\",E250>=C250),Lookup!$C$7,IF(AND(D250=\"No\",E250>=C250),Lookup!$C$8,IF(AND(D250=\"Yes\",E250<C250),Lookup!$C$9,IF(AND(D250=\"No\",E250<C250),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G250),IF(OR(AND(ISBLANK(H250),ISBLANK(I250)),AND(H250=\"No\",ISBLANK(I250))),\"\",IF(AND(ISBLANK(H250),ISNUMBER(I250)),Lookup!$C$11,IF(AND(H250=\"Yes\",ISBLANK(I250)),Lookup!$C$12,IF(AND(H250=\"Yes\",I250>=G250),Lookup!$C$7,IF(AND(H250=\"No\",I250>=G250),Lookup!$C$8,IF(AND(H250=\"Yes\",I250<G250),Lookup!$C$9,IF(AND(H250=\"No\",I250<G250),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L250),IF(ISBLANK(M250),\"\",IF(M250>=L250,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O250),IF(ISBLANK(P250),\"\",IF(P250>=O250,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[98961,"Self-Mgmt Educ/Train 2-4 Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C251),IF(OR(AND(ISBLANK(D251),ISBLANK(E251)),AND(D251=\"No\",ISBLANK(E251))),\"\",IF(AND(ISBLANK(D251),ISNUMBER(E251)),Lookup!$C$11,IF(AND(D251=\"Yes\",ISBLANK(E251)),Lookup!$C$12,IF(AND(D251=\"Yes\",E251>=C251),Lookup!$C$7,IF(AND(D251=\"No\",E251>=C251),Lookup!$C$8,IF(AND(D251=\"Yes\",E251<C251),Lookup!$C$9,IF(AND(D251=\"No\",E251<C251),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G251),IF(OR(AND(ISBLANK(H251),ISBLANK(I251)),AND(H251=\"No\",ISBLANK(I251))),\"\",IF(AND(ISBLANK(H251),ISNUMBER(I251)),Lookup!$C$11,IF(AND(H251=\"Yes\",ISBLANK(I251)),Lookup!$C$12,IF(AND(H251=\"Yes\",I251>=G251),Lookup!$C$7,IF(AND(H251=\"No\",I251>=G251),Lookup!$C$8,IF(AND(H251=\"Yes\",I251<G251),Lookup!$C$9,IF(AND(H251=\"No\",I251<G251),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L251),IF(ISBLANK(M251),\"\",IF(M251>=L251,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O251),IF(ISBLANK(P251),\"\",IF(P251>=O251,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[98962,"Self-Mgmt Educ/Train 5-8 Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C252),IF(OR(AND(ISBLANK(D252),ISBLANK(E252)),AND(D252=\"No\",ISBLANK(E252))),\"\",IF(AND(ISBLANK(D252),ISNUMBER(E252)),Lookup!$C$11,IF(AND(D252=\"Yes\",ISBLANK(E252)),Lookup!$C$12,IF(AND(D252=\"Yes\",E252>=C252),Lookup!$C$7,IF(AND(D252=\"No\",E252>=C252),Lookup!$C$8,IF(AND(D252=\"Yes\",E252<C252),Lookup!$C$9,IF(AND(D252=\"No\",E252<C252),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G252),IF(OR(AND(ISBLANK(H252),ISBLANK(I252)),AND(H252=\"No\",ISBLANK(I252))),\"\",IF(AND(ISBLANK(H252),ISNUMBER(I252)),Lookup!$C$11,IF(AND(H252=\"Yes\",ISBLANK(I252)),Lookup!$C$12,IF(AND(H252=\"Yes\",I252>=G252),Lookup!$C$7,IF(AND(H252=\"No\",I252>=G252),Lookup!$C$8,IF(AND(H252=\"Yes\",I252<G252),Lookup!$C$9,IF(AND(H252=\"No\",I252<G252),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L252),IF(ISBLANK(M252),\"\",IF(M252>=L252,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O252),IF(ISBLANK(P252),\"\",IF(P252>=O252,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[98966,"Hc Pro Phone Call 5-10 Min",13.01,null,null,{"$f":"IF(ISNUMBER(C253),IF(OR(AND(ISBLANK(D253),ISBLANK(E253)),AND(D253=\"No\",ISBLANK(E253))),\"\",IF(AND(ISBLANK(D253),ISNUMBER(E253)),Lookup!$C$11,IF(AND(D253=\"Yes\",ISBLANK(E253)),Lookup!$C$12,IF(AND(D253=\"Yes\",E253>=C253),Lookup!$C$7,IF(AND(D253=\"No\",E253>=C253),Lookup!$C$8,IF(AND(D253=\"Yes\",E253<C253),Lookup!$C$9,IF(AND(D253=\"No\",E253<C253),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},13.01,null,null,{"$f":"IF(ISNUMBER(G253),IF(OR(AND(ISBLANK(H253),ISBLANK(I253)),AND(H253=\"No\",ISBLANK(I253))),\"\",IF(AND(ISBLANK(H253),ISNUMBER(I253)),Lookup!$C$11,IF(AND(H253=\"Yes\",ISBLANK(I253)),Lookup!$C$12,IF(AND(H253=\"Yes\",I253>=G253),Lookup!$C$7,IF(AND(H253=\"No\",I253>=G253),Lookup!$C$8,IF(AND(H253=\"Yes\",I253<G253),Lookup!$C$9,IF(AND(H253=\"No\",I253<G253),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,12.96,null,{"$f":"IF(ISNUMBER(L253),IF(ISBLANK(M253),\"\",IF(M253>=L253,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},12.96,null,{"$f":"IF(ISNUMBER(O253),IF(ISBLANK(P253),\"\",IF(P253>=O253,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98967,"Non-Physician Telephone Services 11-20 Min",24.03,null,null,{"$f":"IF(ISNUMBER(C254),IF(OR(AND(ISBLANK(D254),ISBLANK(E254)),AND(D254=\"No\",ISBLANK(E254))),\"\",IF(AND(ISBLANK(D254),ISNUMBER(E254)),Lookup!$C$11,IF(AND(D254=\"Yes\",ISBLANK(E254)),Lookup!$C$12,IF(AND(D254=\"Yes\",E254>=C254),Lookup!$C$7,IF(AND(D254=\"No\",E254>=C254),Lookup!$C$8,IF(AND(D254=\"Yes\",E254<C254),Lookup!$C$9,IF(AND(D254=\"No\",E254<C254),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},24.03,null,null,{"$f":"IF(ISNUMBER(G254),IF(OR(AND(ISBLANK(H254),ISBLANK(I254)),AND(H254=\"No\",ISBLANK(I254))),\"\",IF(AND(ISBLANK(H254),ISNUMBER(I254)),Lookup!$C$11,IF(AND(H254=\"Yes\",ISBLANK(I254)),Lookup!$C$12,IF(AND(H254=\"Yes\",I254>=G254),Lookup!$C$7,IF(AND(H254=\"No\",I254>=G254),Lookup!$C$8,IF(AND(H254=\"Yes\",I254<G254),Lookup!$C$9,IF(AND(H254=\"No\",I254<G254),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,23.99,null,{"$f":"IF(ISNUMBER(L254),IF(ISBLANK(M254),\"\",IF(M254>=L254,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},23.99,null,{"$f":"IF(ISNUMBER(O254),IF(ISBLANK(P254),\"\",IF(P254>=O254,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98968,"Non-Physician Telephone Services 21-30 Min",33.090000000000003,null,null,{"$f":"IF(ISNUMBER(C255),IF(OR(AND(ISBLANK(D255),ISBLANK(E255)),AND(D255=\"No\",ISBLANK(E255))),\"\",IF(AND(ISBLANK(D255),ISNUMBER(E255)),Lookup!$C$11,IF(AND(D255=\"Yes\",ISBLANK(E255)),Lookup!$C$12,IF(AND(D255=\"Yes\",E255>=C255),Lookup!$C$7,IF(AND(D255=\"No\",E255>=C255),Lookup!$C$8,IF(AND(D255=\"Yes\",E255<C255),Lookup!$C$9,IF(AND(D255=\"No\",E255<C255),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},33.090000000000003,null,null,{"$f":"IF(ISNUMBER(G255),IF(OR(AND(ISBLANK(H255),ISBLANK(I255)),AND(H255=\"No\",ISBLANK(I255))),\"\",IF(AND(ISBLANK(H255),ISNUMBER(I255)),Lookup!$C$11,IF(AND(H255=\"Yes\",ISBLANK(I255)),Lookup!$C$12,IF(AND(H255=\"Yes\",I255>=G255),Lookup!$C$7,IF(AND(H255=\"No\",I255>=G255),Lookup!$C$8,IF(AND(H255=\"Yes\",I255<G255),Lookup!$C$9,IF(AND(H255=\"No\",I255<G255),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.11,null,{"$f":"IF(ISNUMBER(L255),IF(ISBLANK(M255),\"\",IF(M255>=L255,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.11,null,{"$f":"IF(ISNUMBER(O255),IF(ISBLANK(P255),\"\",IF(P255>=O255,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98969,"Online Service By Hc Pro","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C256),IF(OR(AND(ISBLANK(D256),ISBLANK(E256)),AND(D256=\"No\",ISBLANK(E256))),\"\",IF(AND(ISBLANK(D256),ISNUMBER(E256)),Lookup!$C$11,IF(AND(D256=\"Yes\",ISBLANK(E256)),Lookup!$C$12,IF(AND(D256=\"Yes\",E256>=C256),Lookup!$C$7,IF(AND(D256=\"No\",E256>=C256),Lookup!$C$8,IF(AND(D256=\"Yes\",E256<C256),Lookup!$C$9,IF(AND(D256=\"No\",E256<C256),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G256),IF(OR(AND(ISBLANK(H256),ISBLANK(I256)),AND(H256=\"No\",ISBLANK(I256))),\"\",IF(AND(ISBLANK(H256),ISNUMBER(I256)),Lookup!$C$11,IF(AND(H256=\"Yes\",ISBLANK(I256)),Lookup!$C$12,IF(AND(H256=\"Yes\",I256>=G256),Lookup!$C$7,IF(AND(H256=\"No\",I256>=G256),Lookup!$C$8,IF(AND(H256=\"Yes\",I256<G256),Lookup!$C$9,IF(AND(H256=\"No\",I256<G256),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L256),IF(ISBLANK(M256),\"\",IF(M256>=L256,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O256),IF(ISBLANK(P256),\"\",IF(P256>=O256,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[98970,"NQHP ol dig assmt&mgmt 5-10",11.68,null,null,{"$f":"IF(ISNUMBER(C257),IF(OR(AND(ISBLANK(D257),ISBLANK(E257)),AND(D257=\"No\",ISBLANK(E257))),\"\",IF(AND(ISBLANK(D257),ISNUMBER(E257)),Lookup!$C$11,IF(AND(D257=\"Yes\",ISBLANK(E257)),Lookup!$C$12,IF(AND(D257=\"Yes\",E257>=C257),Lookup!$C$7,IF(AND(D257=\"No\",E257>=C257),Lookup!$C$8,IF(AND(D257=\"Yes\",E257<C257),Lookup!$C$9,IF(AND(D257=\"No\",E257<C257),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},11.68,null,null,{"$f":"IF(ISNUMBER(G257),IF(OR(AND(ISBLANK(H257),ISBLANK(I257)),AND(H257=\"No\",ISBLANK(I257))),\"\",IF(AND(ISBLANK(H257),ISNUMBER(I257)),Lookup!$C$11,IF(AND(H257=\"Yes\",ISBLANK(I257)),Lookup!$C$12,IF(AND(H257=\"Yes\",I257>=G257),Lookup!$C$7,IF(AND(H257=\"No\",I257>=G257),Lookup!$C$8,IF(AND(H257=\"Yes\",I257<G257),Lookup!$C$9,IF(AND(H257=\"No\",I257<G257),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.35,null,{"$f":"IF(ISNUMBER(L257),IF(ISBLANK(M257),\"\",IF(M257>=L257,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.35,null,{"$f":"IF(ISNUMBER(O257),IF(ISBLANK(P257),\"\",IF(P257>=O257,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98971,"NQHP ol dig assmt&mgmt 11-20",20.69,null,null,{"$f":"IF(ISNUMBER(C258),IF(OR(AND(ISBLANK(D258),ISBLANK(E258)),AND(D258=\"No\",ISBLANK(E258))),\"\",IF(AND(ISBLANK(D258),ISNUMBER(E258)),Lookup!$C$11,IF(AND(D258=\"Yes\",ISBLANK(E258)),Lookup!$C$12,IF(AND(D258=\"Yes\",E258>=C258),Lookup!$C$7,IF(AND(D258=\"No\",E258>=C258),Lookup!$C$8,IF(AND(D258=\"Yes\",E258<C258),Lookup!$C$9,IF(AND(D258=\"No\",E258<C258),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},20.69,null,null,{"$f":"IF(ISNUMBER(G258),IF(OR(AND(ISBLANK(H258),ISBLANK(I258)),AND(H258=\"No\",ISBLANK(I258))),\"\",IF(AND(ISBLANK(H258),ISNUMBER(I258)),Lookup!$C$11,IF(AND(H258=\"Yes\",ISBLANK(I258)),Lookup!$C$12,IF(AND(H258=\"Yes\",I258>=G258),Lookup!$C$7,IF(AND(H258=\"No\",I258>=G258),Lookup!$C$8,IF(AND(H258=\"Yes\",I258<G258),Lookup!$C$9,IF(AND(H258=\"No\",I258<G258),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,21.38,null,{"$f":"IF(ISNUMBER(L258),IF(ISBLANK(M258),\"\",IF(M258>=L258,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},21.38,null,{"$f":"IF(ISNUMBER(O258),IF(ISBLANK(P258),\"\",IF(P258>=O258,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[98972,"NQHP ol dig assmt&mgmt 21+",30.74,null,null,{"$f":"IF(ISNUMBER(C259),IF(OR(AND(ISBLANK(D259),ISBLANK(E259)),AND(D259=\"No\",ISBLANK(E259))),\"\",IF(AND(ISBLANK(D259),ISNUMBER(E259)),Lookup!$C$11,IF(AND(D259=\"Yes\",ISBLANK(E259)),Lookup!$C$12,IF(AND(D259=\"Yes\",E259>=C259),Lookup!$C$7,IF(AND(D259=\"No\",E259>=C259),Lookup!$C$8,IF(AND(D259=\"Yes\",E259<C259),Lookup!$C$9,IF(AND(D259=\"No\",E259<C259),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},30.74,null,null,{"$f":"IF(ISNUMBER(G259),IF(OR(AND(ISBLANK(H259),ISBLANK(I259)),AND(H259=\"No\",ISBLANK(I259))),\"\",IF(AND(ISBLANK(H259),ISNUMBER(I259)),Lookup!$C$11,IF(AND(H259=\"Yes\",ISBLANK(I259)),Lookup!$C$12,IF(AND(H259=\"Yes\",I259>=G259),Lookup!$C$7,IF(AND(H259=\"No\",I259>=G259),Lookup!$C$8,IF(AND(H259=\"Yes\",I259<G259),Lookup!$C$9,IF(AND(H259=\"No\",I259<G259),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,32.43,null,{"$f":"IF(ISNUMBER(L259),IF(ISBLANK(M259),\"\",IF(M259>=L259,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},32.43,null,{"$f":"IF(ISNUMBER(O259),IF(ISBLANK(P259),\"\",IF(P259>=O259,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99000,"Specimen Handling Office-Lab","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C260),IF(OR(AND(ISBLANK(D260),ISBLANK(E260)),AND(D260=\"No\",ISBLANK(E260))),\"\",IF(AND(ISBLANK(D260),ISNUMBER(E260)),Lookup!$C$11,IF(AND(D260=\"Yes\",ISBLANK(E260)),Lookup!$C$12,IF(AND(D260=\"Yes\",E260>=C260),Lookup!$C$7,IF(AND(D260=\"No\",E260>=C260),Lookup!$C$8,IF(AND(D260=\"Yes\",E260<C260),Lookup!$C$9,IF(AND(D260=\"No\",E260<C260),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G260),IF(OR(AND(ISBLANK(H260),ISBLANK(I260)),AND(H260=\"No\",ISBLANK(I260))),\"\",IF(AND(ISBLANK(H260),ISNUMBER(I260)),Lookup!$C$11,IF(AND(H260=\"Yes\",ISBLANK(I260)),Lookup!$C$12,IF(AND(H260=\"Yes\",I260>=G260),Lookup!$C$7,IF(AND(H260=\"No\",I260>=G260),Lookup!$C$8,IF(AND(H260=\"Yes\",I260<G260),Lookup!$C$9,IF(AND(H260=\"No\",I260<G260),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L260),IF(ISBLANK(M260),\"\",IF(M260>=L260,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O260),IF(ISBLANK(P260),\"\",IF(P260>=O260,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99024,"Postop Follow-Up Visit","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C261),IF(OR(AND(ISBLANK(D261),ISBLANK(E261)),AND(D261=\"No\",ISBLANK(E261))),\"\",IF(AND(ISBLANK(D261),ISNUMBER(E261)),Lookup!$C$11,IF(AND(D261=\"Yes\",ISBLANK(E261)),Lookup!$C$12,IF(AND(D261=\"Yes\",E261>=C261),Lookup!$C$7,IF(AND(D261=\"No\",E261>=C261),Lookup!$C$8,IF(AND(D261=\"Yes\",E261<C261),Lookup!$C$9,IF(AND(D261=\"No\",E261<C261),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G261),IF(OR(AND(ISBLANK(H261),ISBLANK(I261)),AND(H261=\"No\",ISBLANK(I261))),\"\",IF(AND(ISBLANK(H261),ISNUMBER(I261)),Lookup!$C$11,IF(AND(H261=\"Yes\",ISBLANK(I261)),Lookup!$C$12,IF(AND(H261=\"Yes\",I261>=G261),Lookup!$C$7,IF(AND(H261=\"No\",I261>=G261),Lookup!$C$8,IF(AND(H261=\"Yes\",I261<G261),Lookup!$C$9,IF(AND(H261=\"No\",I261<G261),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L261),IF(ISBLANK(M261),\"\",IF(M261>=L261,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O261),IF(ISBLANK(P261),\"\",IF(P261>=O261,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99050,"Medical Services After Hrs","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C262),IF(OR(AND(ISBLANK(D262),ISBLANK(E262)),AND(D262=\"No\",ISBLANK(E262))),\"\",IF(AND(ISBLANK(D262),ISNUMBER(E262)),Lookup!$C$11,IF(AND(D262=\"Yes\",ISBLANK(E262)),Lookup!$C$12,IF(AND(D262=\"Yes\",E262>=C262),Lookup!$C$7,IF(AND(D262=\"No\",E262>=C262),Lookup!$C$8,IF(AND(D262=\"Yes\",E262<C262),Lookup!$C$9,IF(AND(D262=\"No\",E262<C262),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G262),IF(OR(AND(ISBLANK(H262),ISBLANK(I262)),AND(H262=\"No\",ISBLANK(I262))),\"\",IF(AND(ISBLANK(H262),ISNUMBER(I262)),Lookup!$C$11,IF(AND(H262=\"Yes\",ISBLANK(I262)),Lookup!$C$12,IF(AND(H262=\"Yes\",I262>=G262),Lookup!$C$7,IF(AND(H262=\"No\",I262>=G262),Lookup!$C$8,IF(AND(H262=\"Yes\",I262<G262),Lookup!$C$9,IF(AND(H262=\"No\",I262<G262),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L262),IF(ISBLANK(M262),\"\",IF(M262>=L262,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O262),IF(ISBLANK(P262),\"\",IF(P262>=O262,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99051,"Med Serv Evening/Wkend/Holiday","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C263),IF(OR(AND(ISBLANK(D263),ISBLANK(E263)),AND(D263=\"No\",ISBLANK(E263))),\"\",IF(AND(ISBLANK(D263),ISNUMBER(E263)),Lookup!$C$11,IF(AND(D263=\"Yes\",ISBLANK(E263)),Lookup!$C$12,IF(AND(D263=\"Yes\",E263>=C263),Lookup!$C$7,IF(AND(D263=\"No\",E263>=C263),Lookup!$C$8,IF(AND(D263=\"Yes\",E263<C263),Lookup!$C$9,IF(AND(D263=\"No\",E263<C263),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G263),IF(OR(AND(ISBLANK(H263),ISBLANK(I263)),AND(H263=\"No\",ISBLANK(I263))),\"\",IF(AND(ISBLANK(H263),ISNUMBER(I263)),Lookup!$C$11,IF(AND(H263=\"Yes\",ISBLANK(I263)),Lookup!$C$12,IF(AND(H263=\"Yes\",I263>=G263),Lookup!$C$7,IF(AND(H263=\"No\",I263>=G263),Lookup!$C$8,IF(AND(H263=\"Yes\",I263<G263),Lookup!$C$9,IF(AND(H263=\"No\",I263<G263),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L263),IF(ISBLANK(M263),\"\",IF(M263>=L263,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O263),IF(ISBLANK(P263),\"\",IF(P263>=O263,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99056,"Med Service Out Of Office","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C264),IF(OR(AND(ISBLANK(D264),ISBLANK(E264)),AND(D264=\"No\",ISBLANK(E264))),\"\",IF(AND(ISBLANK(D264),ISNUMBER(E264)),Lookup!$C$11,IF(AND(D264=\"Yes\",ISBLANK(E264)),Lookup!$C$12,IF(AND(D264=\"Yes\",E264>=C264),Lookup!$C$7,IF(AND(D264=\"No\",E264>=C264),Lookup!$C$8,IF(AND(D264=\"Yes\",E264<C264),Lookup!$C$9,IF(AND(D264=\"No\",E264<C264),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G264),IF(OR(AND(ISBLANK(H264),ISBLANK(I264)),AND(H264=\"No\",ISBLANK(I264))),\"\",IF(AND(ISBLANK(H264),ISNUMBER(I264)),Lookup!$C$11,IF(AND(H264=\"Yes\",ISBLANK(I264)),Lookup!$C$12,IF(AND(H264=\"Yes\",I264>=G264),Lookup!$C$7,IF(AND(H264=\"No\",I264>=G264),Lookup!$C$8,IF(AND(H264=\"Yes\",I264<G264),Lookup!$C$9,IF(AND(H264=\"No\",I264<G264),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L264),IF(ISBLANK(M264),\"\",IF(M264>=L264,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O264),IF(ISBLANK(P264),\"\",IF(P264>=O264,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99058,"Office Emergency Care","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C265),IF(OR(AND(ISBLANK(D265),ISBLANK(E265)),AND(D265=\"No\",ISBLANK(E265))),\"\",IF(AND(ISBLANK(D265),ISNUMBER(E265)),Lookup!$C$11,IF(AND(D265=\"Yes\",ISBLANK(E265)),Lookup!$C$12,IF(AND(D265=\"Yes\",E265>=C265),Lookup!$C$7,IF(AND(D265=\"No\",E265>=C265),Lookup!$C$8,IF(AND(D265=\"Yes\",E265<C265),Lookup!$C$9,IF(AND(D265=\"No\",E265<C265),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G265),IF(OR(AND(ISBLANK(H265),ISBLANK(I265)),AND(H265=\"No\",ISBLANK(I265))),\"\",IF(AND(ISBLANK(H265),ISNUMBER(I265)),Lookup!$C$11,IF(AND(H265=\"Yes\",ISBLANK(I265)),Lookup!$C$12,IF(AND(H265=\"Yes\",I265>=G265),Lookup!$C$7,IF(AND(H265=\"No\",I265>=G265),Lookup!$C$8,IF(AND(H265=\"Yes\",I265<G265),Lookup!$C$9,IF(AND(H265=\"No\",I265<G265),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L265),IF(ISBLANK(M265),\"\",IF(M265>=L265,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O265),IF(ISBLANK(P265),\"\",IF(P265>=O265,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99071,"Pt Education Materials","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C266),IF(OR(AND(ISBLANK(D266),ISBLANK(E266)),AND(D266=\"No\",ISBLANK(E266))),\"\",IF(AND(ISBLANK(D266),ISNUMBER(E266)),Lookup!$C$11,IF(AND(D266=\"Yes\",ISBLANK(E266)),Lookup!$C$12,IF(AND(D266=\"Yes\",E266>=C266),Lookup!$C$7,IF(AND(D266=\"No\",E266>=C266),Lookup!$C$8,IF(AND(D266=\"Yes\",E266<C266),Lookup!$C$9,IF(AND(D266=\"No\",E266<C266),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G266),IF(OR(AND(ISBLANK(H266),ISBLANK(I266)),AND(H266=\"No\",ISBLANK(I266))),\"\",IF(AND(ISBLANK(H266),ISNUMBER(I266)),Lookup!$C$11,IF(AND(H266=\"Yes\",ISBLANK(I266)),Lookup!$C$12,IF(AND(H266=\"Yes\",I266>=G266),Lookup!$C$7,IF(AND(H266=\"No\",I266>=G266),Lookup!$C$8,IF(AND(H266=\"Yes\",I266<G266),Lookup!$C$9,IF(AND(H266=\"No\",I266<G266),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L266),IF(ISBLANK(M266),\"\",IF(M266>=L266,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O266),IF(ISBLANK(P266),\"\",IF(P266>=O266,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99078,"Phys/QHP  Education Materials for Pts In Group Setting","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C267),IF(OR(AND(ISBLANK(D267),ISBLANK(E267)),AND(D267=\"No\",ISBLANK(E267))),\"\",IF(AND(ISBLANK(D267),ISNUMBER(E267)),Lookup!$C$11,IF(AND(D267=\"Yes\",ISBLANK(E267)),Lookup!$C$12,IF(AND(D267=\"Yes\",E267>=C267),Lookup!$C$7,IF(AND(D267=\"No\",E267>=C267),Lookup!$C$8,IF(AND(D267=\"Yes\",E267<C267),Lookup!$C$9,IF(AND(D267=\"No\",E267<C267),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G267),IF(OR(AND(ISBLANK(H267),ISBLANK(I267)),AND(H267=\"No\",ISBLANK(I267))),\"\",IF(AND(ISBLANK(H267),ISNUMBER(I267)),Lookup!$C$11,IF(AND(H267=\"Yes\",ISBLANK(I267)),Lookup!$C$12,IF(AND(H267=\"Yes\",I267>=G267),Lookup!$C$7,IF(AND(H267=\"No\",I267>=G267),Lookup!$C$8,IF(AND(H267=\"Yes\",I267<G267),Lookup!$C$9,IF(AND(H267=\"No\",I267<G267),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L267),IF(ISBLANK(M267),\"\",IF(M267>=L267,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O267),IF(ISBLANK(P267),\"\",IF(P267>=O267,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99173,"Visual Acuity Screen","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C268),IF(OR(AND(ISBLANK(D268),ISBLANK(E268)),AND(D268=\"No\",ISBLANK(E268))),\"\",IF(AND(ISBLANK(D268),ISNUMBER(E268)),Lookup!$C$11,IF(AND(D268=\"Yes\",ISBLANK(E268)),Lookup!$C$12,IF(AND(D268=\"Yes\",E268>=C268),Lookup!$C$7,IF(AND(D268=\"No\",E268>=C268),Lookup!$C$8,IF(AND(D268=\"Yes\",E268<C268),Lookup!$C$9,IF(AND(D268=\"No\",E268<C268),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G268),IF(OR(AND(ISBLANK(H268),ISBLANK(I268)),AND(H268=\"No\",ISBLANK(I268))),\"\",IF(AND(ISBLANK(H268),ISNUMBER(I268)),Lookup!$C$11,IF(AND(H268=\"Yes\",ISBLANK(I268)),Lookup!$C$12,IF(AND(H268=\"Yes\",I268>=G268),Lookup!$C$7,IF(AND(H268=\"No\",I268>=G268),Lookup!$C$8,IF(AND(H268=\"Yes\",I268<G268),Lookup!$C$9,IF(AND(H268=\"No\",I268<G268),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L268),IF(ISBLANK(M268),\"\",IF(M268>=L268,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O268),IF(ISBLANK(P268),\"\",IF(P268>=O268,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99174,"Ocular Instrumnt Screen Bil Remote Analysis ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C269),IF(OR(AND(ISBLANK(D269),ISBLANK(E269)),AND(D269=\"No\",ISBLANK(E269))),\"\",IF(AND(ISBLANK(D269),ISNUMBER(E269)),Lookup!$C$11,IF(AND(D269=\"Yes\",ISBLANK(E269)),Lookup!$C$12,IF(AND(D269=\"Yes\",E269>=C269),Lookup!$C$7,IF(AND(D269=\"No\",E269>=C269),Lookup!$C$8,IF(AND(D269=\"Yes\",E269<C269),Lookup!$C$9,IF(AND(D269=\"No\",E269<C269),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G269),IF(OR(AND(ISBLANK(H269),ISBLANK(I269)),AND(H269=\"No\",ISBLANK(I269))),\"\",IF(AND(ISBLANK(H269),ISNUMBER(I269)),Lookup!$C$11,IF(AND(H269=\"Yes\",ISBLANK(I269)),Lookup!$C$12,IF(AND(H269=\"Yes\",I269>=G269),Lookup!$C$7,IF(AND(H269=\"No\",I269>=G269),Lookup!$C$8,IF(AND(H269=\"Yes\",I269<G269),Lookup!$C$9,IF(AND(H269=\"No\",I269<G269),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L269),IF(ISBLANK(M269),\"\",IF(M269>=L269,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O269),IF(ISBLANK(P269),\"\",IF(P269>=O269,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99177,"Ocular Instrumnt Screen Bil On Site Analysis ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C270),IF(OR(AND(ISBLANK(D270),ISBLANK(E270)),AND(D270=\"No\",ISBLANK(E270))),\"\",IF(AND(ISBLANK(D270),ISNUMBER(E270)),Lookup!$C$11,IF(AND(D270=\"Yes\",ISBLANK(E270)),Lookup!$C$12,IF(AND(D270=\"Yes\",E270>=C270),Lookup!$C$7,IF(AND(D270=\"No\",E270>=C270),Lookup!$C$8,IF(AND(D270=\"Yes\",E270<C270),Lookup!$C$9,IF(AND(D270=\"No\",E270<C270),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G270),IF(OR(AND(ISBLANK(H270),ISBLANK(I270)),AND(H270=\"No\",ISBLANK(I270))),\"\",IF(AND(ISBLANK(H270),ISNUMBER(I270)),Lookup!$C$11,IF(AND(H270=\"Yes\",ISBLANK(I270)),Lookup!$C$12,IF(AND(H270=\"Yes\",I270>=G270),Lookup!$C$7,IF(AND(H270=\"No\",I270>=G270),Lookup!$C$8,IF(AND(H270=\"Yes\",I270<G270),Lookup!$C$9,IF(AND(H270=\"No\",I270<G270),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L270),IF(ISBLANK(M270),\"\",IF(M270>=L270,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O270),IF(ISBLANK(P270),\"\",IF(P270>=O270,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99188,"App Topical Fluoride Varnish","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C271),IF(OR(AND(ISBLANK(D271),ISBLANK(E271)),AND(D271=\"No\",ISBLANK(E271))),\"\",IF(AND(ISBLANK(D271),ISNUMBER(E271)),Lookup!$C$11,IF(AND(D271=\"Yes\",ISBLANK(E271)),Lookup!$C$12,IF(AND(D271=\"Yes\",E271>=C271),Lookup!$C$7,IF(AND(D271=\"No\",E271>=C271),Lookup!$C$8,IF(AND(D271=\"Yes\",E271<C271),Lookup!$C$9,IF(AND(D271=\"No\",E271<C271),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G271),IF(OR(AND(ISBLANK(H271),ISBLANK(I271)),AND(H271=\"No\",ISBLANK(I271))),\"\",IF(AND(ISBLANK(H271),ISNUMBER(I271)),Lookup!$C$11,IF(AND(H271=\"Yes\",ISBLANK(I271)),Lookup!$C$12,IF(AND(H271=\"Yes\",I271>=G271),Lookup!$C$7,IF(AND(H271=\"No\",I271>=G271),Lookup!$C$8,IF(AND(H271=\"Yes\",I271<G271),Lookup!$C$9,IF(AND(H271=\"No\",I271<G271),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L271),IF(ISBLANK(M271),\"\",IF(M271>=L271,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O271),IF(ISBLANK(P271),\"\",IF(P271>=O271,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99202,"Office/OutPt Visit New 15-29 Min",72.069999999999993,null,null,{"$f":"IF(ISNUMBER(C272),IF(OR(AND(ISBLANK(D272),ISBLANK(E272)),AND(D272=\"No\",ISBLANK(E272))),\"\",IF(AND(ISBLANK(D272),ISNUMBER(E272)),Lookup!$C$11,IF(AND(D272=\"Yes\",ISBLANK(E272)),Lookup!$C$12,IF(AND(D272=\"Yes\",E272>=C272),Lookup!$C$7,IF(AND(D272=\"No\",E272>=C272),Lookup!$C$8,IF(AND(D272=\"Yes\",E272<C272),Lookup!$C$9,IF(AND(D272=\"No\",E272<C272),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},72.069999999999993,null,null,{"$f":"IF(ISNUMBER(G272),IF(OR(AND(ISBLANK(H272),ISBLANK(I272)),AND(H272=\"No\",ISBLANK(I272))),\"\",IF(AND(ISBLANK(H272),ISNUMBER(I272)),Lookup!$C$11,IF(AND(H272=\"Yes\",ISBLANK(I272)),Lookup!$C$12,IF(AND(H272=\"Yes\",I272>=G272),Lookup!$C$7,IF(AND(H272=\"No\",I272>=G272),Lookup!$C$8,IF(AND(H272=\"Yes\",I272<G272),Lookup!$C$9,IF(AND(H272=\"No\",I272<G272),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,69.72,null,{"$f":"IF(ISNUMBER(L272),IF(ISBLANK(M272),\"\",IF(M272>=L272,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},69.72,null,{"$f":"IF(ISNUMBER(O272),IF(ISBLANK(P272),\"\",IF(P272>=O272,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99203,"Office/OutPt Visit New 30-44 Min",111.3,null,null,{"$f":"IF(ISNUMBER(C273),IF(OR(AND(ISBLANK(D273),ISBLANK(E273)),AND(D273=\"No\",ISBLANK(E273))),\"\",IF(AND(ISBLANK(D273),ISNUMBER(E273)),Lookup!$C$11,IF(AND(D273=\"Yes\",ISBLANK(E273)),Lookup!$C$12,IF(AND(D273=\"Yes\",E273>=C273),Lookup!$C$7,IF(AND(D273=\"No\",E273>=C273),Lookup!$C$8,IF(AND(D273=\"Yes\",E273<C273),Lookup!$C$9,IF(AND(D273=\"No\",E273<C273),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},111.3,null,null,{"$f":"IF(ISNUMBER(G273),IF(OR(AND(ISBLANK(H273),ISBLANK(I273)),AND(H273=\"No\",ISBLANK(I273))),\"\",IF(AND(ISBLANK(H273),ISNUMBER(I273)),Lookup!$C$11,IF(AND(H273=\"Yes\",ISBLANK(I273)),Lookup!$C$12,IF(AND(H273=\"Yes\",I273>=G273),Lookup!$C$7,IF(AND(H273=\"No\",I273>=G273),Lookup!$C$8,IF(AND(H273=\"Yes\",I273<G273),Lookup!$C$9,IF(AND(H273=\"No\",I273<G273),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,108.79,null,{"$f":"IF(ISNUMBER(L273),IF(ISBLANK(M273),\"\",IF(M273>=L273,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},108.79,null,{"$f":"IF(ISNUMBER(O273),IF(ISBLANK(P273),\"\",IF(P273>=O273,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99204,"Office/OutPt Visit New 45-59 Min",166.89,null,null,{"$f":"IF(ISNUMBER(C274),IF(OR(AND(ISBLANK(D274),ISBLANK(E274)),AND(D274=\"No\",ISBLANK(E274))),\"\",IF(AND(ISBLANK(D274),ISNUMBER(E274)),Lookup!$C$11,IF(AND(D274=\"Yes\",ISBLANK(E274)),Lookup!$C$12,IF(AND(D274=\"Yes\",E274>=C274),Lookup!$C$7,IF(AND(D274=\"No\",E274>=C274),Lookup!$C$8,IF(AND(D274=\"Yes\",E274<C274),Lookup!$C$9,IF(AND(D274=\"No\",E274<C274),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},166.89,null,null,{"$f":"IF(ISNUMBER(G274),IF(OR(AND(ISBLANK(H274),ISBLANK(I274)),AND(H274=\"No\",ISBLANK(I274))),\"\",IF(AND(ISBLANK(H274),ISNUMBER(I274)),Lookup!$C$11,IF(AND(H274=\"Yes\",ISBLANK(I274)),Lookup!$C$12,IF(AND(H274=\"Yes\",I274>=G274),Lookup!$C$7,IF(AND(H274=\"No\",I274>=G274),Lookup!$C$8,IF(AND(H274=\"Yes\",I274<G274),Lookup!$C$9,IF(AND(H274=\"No\",I274<G274),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,163.13999999999999,null,{"$f":"IF(ISNUMBER(L274),IF(ISBLANK(M274),\"\",IF(M274>=L274,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},163.13999999999999,null,{"$f":"IF(ISNUMBER(O274),IF(ISBLANK(P274),\"\",IF(P274>=O274,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99205,"Office/OutPt Visit New 60-74 Min",220.11,null,null,{"$f":"IF(ISNUMBER(C275),IF(OR(AND(ISBLANK(D275),ISBLANK(E275)),AND(D275=\"No\",ISBLANK(E275))),\"\",IF(AND(ISBLANK(D275),ISNUMBER(E275)),Lookup!$C$11,IF(AND(D275=\"Yes\",ISBLANK(E275)),Lookup!$C$12,IF(AND(D275=\"Yes\",E275>=C275),Lookup!$C$7,IF(AND(D275=\"No\",E275>=C275),Lookup!$C$8,IF(AND(D275=\"Yes\",E275<C275),Lookup!$C$9,IF(AND(D275=\"No\",E275<C275),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},220.11,null,null,{"$f":"IF(ISNUMBER(G275),IF(OR(AND(ISBLANK(H275),ISBLANK(I275)),AND(H275=\"No\",ISBLANK(I275))),\"\",IF(AND(ISBLANK(H275),ISNUMBER(I275)),Lookup!$C$11,IF(AND(H275=\"Yes\",ISBLANK(I275)),Lookup!$C$12,IF(AND(H275=\"Yes\",I275>=G275),Lookup!$C$7,IF(AND(H275=\"No\",I275>=G275),Lookup!$C$8,IF(AND(H275=\"Yes\",I275<G275),Lookup!$C$9,IF(AND(H275=\"No\",I275<G275),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,215.48,null,{"$f":"IF(ISNUMBER(L275),IF(ISBLANK(M275),\"\",IF(M275>=L275,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},215.48,null,{"$f":"IF(ISNUMBER(O275),IF(ISBLANK(P275),\"\",IF(P275>=O275,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99211,"Office/OutPt Visit Est",23.2,null,null,{"$f":"IF(ISNUMBER(C276),IF(OR(AND(ISBLANK(D276),ISBLANK(E276)),AND(D276=\"No\",ISBLANK(E276))),\"\",IF(AND(ISBLANK(D276),ISNUMBER(E276)),Lookup!$C$11,IF(AND(D276=\"Yes\",ISBLANK(E276)),Lookup!$C$12,IF(AND(D276=\"Yes\",E276>=C276),Lookup!$C$7,IF(AND(D276=\"No\",E276>=C276),Lookup!$C$8,IF(AND(D276=\"Yes\",E276<C276),Lookup!$C$9,IF(AND(D276=\"No\",E276<C276),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},23.2,null,null,{"$f":"IF(ISNUMBER(G276),IF(OR(AND(ISBLANK(H276),ISBLANK(I276)),AND(H276=\"No\",ISBLANK(I276))),\"\",IF(AND(ISBLANK(H276),ISNUMBER(I276)),Lookup!$C$11,IF(AND(H276=\"Yes\",ISBLANK(I276)),Lookup!$C$12,IF(AND(H276=\"Yes\",I276>=G276),Lookup!$C$7,IF(AND(H276=\"No\",I276>=G276),Lookup!$C$8,IF(AND(H276=\"Yes\",I276<G276),Lookup!$C$9,IF(AND(H276=\"No\",I276<G276),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,22.55,null,{"$f":"IF(ISNUMBER(L276),IF(ISBLANK(M276),\"\",IF(M276>=L276,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},22.55,null,{"$f":"IF(ISNUMBER(O276),IF(ISBLANK(P276),\"\",IF(P276>=O276,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99212,"Office/OutPt Visit Est 10-19 Min",56.45,null,null,{"$f":"IF(ISNUMBER(C277),IF(OR(AND(ISBLANK(D277),ISBLANK(E277)),AND(D277=\"No\",ISBLANK(E277))),\"\",IF(AND(ISBLANK(D277),ISNUMBER(E277)),Lookup!$C$11,IF(AND(D277=\"Yes\",ISBLANK(E277)),Lookup!$C$12,IF(AND(D277=\"Yes\",E277>=C277),Lookup!$C$7,IF(AND(D277=\"No\",E277>=C277),Lookup!$C$8,IF(AND(D277=\"Yes\",E277<C277),Lookup!$C$9,IF(AND(D277=\"No\",E277<C277),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},56.45,null,null,{"$f":"IF(ISNUMBER(G277),IF(OR(AND(ISBLANK(H277),ISBLANK(I277)),AND(H277=\"No\",ISBLANK(I277))),\"\",IF(AND(ISBLANK(H277),ISNUMBER(I277)),Lookup!$C$11,IF(AND(H277=\"Yes\",ISBLANK(I277)),Lookup!$C$12,IF(AND(H277=\"Yes\",I277>=G277),Lookup!$C$7,IF(AND(H277=\"No\",I277>=G277),Lookup!$C$8,IF(AND(H277=\"Yes\",I277<G277),Lookup!$C$9,IF(AND(H277=\"No\",I277<G277),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,54.86,null,{"$f":"IF(ISNUMBER(L277),IF(ISBLANK(M277),\"\",IF(M277>=L277,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},54.86,null,{"$f":"IF(ISNUMBER(O277),IF(ISBLANK(P277),\"\",IF(P277>=O277,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99213,"Office/OutPt Visit Est 20-29 Min",90.74,null,null,{"$f":"IF(ISNUMBER(C278),IF(OR(AND(ISBLANK(D278),ISBLANK(E278)),AND(D278=\"No\",ISBLANK(E278))),\"\",IF(AND(ISBLANK(D278),ISNUMBER(E278)),Lookup!$C$11,IF(AND(D278=\"Yes\",ISBLANK(E278)),Lookup!$C$12,IF(AND(D278=\"Yes\",E278>=C278),Lookup!$C$7,IF(AND(D278=\"No\",E278>=C278),Lookup!$C$8,IF(AND(D278=\"Yes\",E278<C278),Lookup!$C$9,IF(AND(D278=\"No\",E278<C278),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},90.74,null,null,{"$f":"IF(ISNUMBER(G278),IF(OR(AND(ISBLANK(H278),ISBLANK(I278)),AND(H278=\"No\",ISBLANK(I278))),\"\",IF(AND(ISBLANK(H278),ISNUMBER(I278)),Lookup!$C$11,IF(AND(H278=\"Yes\",ISBLANK(I278)),Lookup!$C$12,IF(AND(H278=\"Yes\",I278>=G278),Lookup!$C$7,IF(AND(H278=\"No\",I278>=G278),Lookup!$C$8,IF(AND(H278=\"Yes\",I278<G278),Lookup!$C$9,IF(AND(H278=\"No\",I278<G278),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,88.82,null,{"$f":"IF(ISNUMBER(L278),IF(ISBLANK(M278),\"\",IF(M278>=L278,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},88.82,null,{"$f":"IF(ISNUMBER(O278),IF(ISBLANK(P278),\"\",IF(P278>=O278,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99214,"Office/OutPt Visit Est 30-39 Min",128.02000000000001,null,null,{"$f":"IF(ISNUMBER(C279),IF(OR(AND(ISBLANK(D279),ISBLANK(E279)),AND(D279=\"No\",ISBLANK(E279))),\"\",IF(AND(ISBLANK(D279),ISNUMBER(E279)),Lookup!$C$11,IF(AND(D279=\"Yes\",ISBLANK(E279)),Lookup!$C$12,IF(AND(D279=\"Yes\",E279>=C279),Lookup!$C$7,IF(AND(D279=\"No\",E279>=C279),Lookup!$C$8,IF(AND(D279=\"Yes\",E279<C279),Lookup!$C$9,IF(AND(D279=\"No\",E279<C279),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},128.02000000000001,null,null,{"$f":"IF(ISNUMBER(G279),IF(OR(AND(ISBLANK(H279),ISBLANK(I279)),AND(H279=\"No\",ISBLANK(I279))),\"\",IF(AND(ISBLANK(H279),ISNUMBER(I279)),Lookup!$C$11,IF(AND(H279=\"Yes\",ISBLANK(I279)),Lookup!$C$12,IF(AND(H279=\"Yes\",I279>=G279),Lookup!$C$7,IF(AND(H279=\"No\",I279>=G279),Lookup!$C$8,IF(AND(H279=\"Yes\",I279<G279),Lookup!$C$9,IF(AND(H279=\"No\",I279<G279),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,125.03,null,{"$f":"IF(ISNUMBER(L279),IF(ISBLANK(M279),\"\",IF(M279>=L279,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},125.03,null,{"$f":"IF(ISNUMBER(O279),IF(ISBLANK(P279),\"\",IF(P279>=O279,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99215,"Office/OutPt Visit Est 40-54 Min",180.24,null,null,{"$f":"IF(ISNUMBER(C280),IF(OR(AND(ISBLANK(D280),ISBLANK(E280)),AND(D280=\"No\",ISBLANK(E280))),\"\",IF(AND(ISBLANK(D280),ISNUMBER(E280)),Lookup!$C$11,IF(AND(D280=\"Yes\",ISBLANK(E280)),Lookup!$C$12,IF(AND(D280=\"Yes\",E280>=C280),Lookup!$C$7,IF(AND(D280=\"No\",E280>=C280),Lookup!$C$8,IF(AND(D280=\"Yes\",E280<C280),Lookup!$C$9,IF(AND(D280=\"No\",E280<C280),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},180.24,null,null,{"$f":"IF(ISNUMBER(G280),IF(OR(AND(ISBLANK(H280),ISBLANK(I280)),AND(H280=\"No\",ISBLANK(I280))),\"\",IF(AND(ISBLANK(H280),ISNUMBER(I280)),Lookup!$C$11,IF(AND(H280=\"Yes\",ISBLANK(I280)),Lookup!$C$12,IF(AND(H280=\"Yes\",I280>=G280),Lookup!$C$7,IF(AND(H280=\"No\",I280>=G280),Lookup!$C$8,IF(AND(H280=\"Yes\",I280<G280),Lookup!$C$9,IF(AND(H280=\"No\",I280<G280),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,175.48,null,{"$f":"IF(ISNUMBER(L280),IF(ISBLANK(M280),\"\",IF(M280>=L280,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},175.48,null,{"$f":"IF(ISNUMBER(O280),IF(ISBLANK(P280),\"\",IF(P280>=O280,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99241,"Office Or Other OutPt Consultations 15 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C281),IF(OR(AND(ISBLANK(D281),ISBLANK(E281)),AND(D281=\"No\",ISBLANK(E281))),\"\",IF(AND(ISBLANK(D281),ISNUMBER(E281)),Lookup!$C$11,IF(AND(D281=\"Yes\",ISBLANK(E281)),Lookup!$C$12,IF(AND(D281=\"Yes\",E281>=C281),Lookup!$C$7,IF(AND(D281=\"No\",E281>=C281),Lookup!$C$8,IF(AND(D281=\"Yes\",E281<C281),Lookup!$C$9,IF(AND(D281=\"No\",E281<C281),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G281),IF(OR(AND(ISBLANK(H281),ISBLANK(I281)),AND(H281=\"No\",ISBLANK(I281))),\"\",IF(AND(ISBLANK(H281),ISNUMBER(I281)),Lookup!$C$11,IF(AND(H281=\"Yes\",ISBLANK(I281)),Lookup!$C$12,IF(AND(H281=\"Yes\",I281>=G281),Lookup!$C$7,IF(AND(H281=\"No\",I281>=G281),Lookup!$C$8,IF(AND(H281=\"Yes\",I281<G281),Lookup!$C$9,IF(AND(H281=\"No\",I281<G281),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L281),IF(ISBLANK(M281),\"\",IF(M281>=L281,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O281),IF(ISBLANK(P281),\"\",IF(P281>=O281,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99242,"Office Or Other OutPt Consultations 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C282),IF(OR(AND(ISBLANK(D282),ISBLANK(E282)),AND(D282=\"No\",ISBLANK(E282))),\"\",IF(AND(ISBLANK(D282),ISNUMBER(E282)),Lookup!$C$11,IF(AND(D282=\"Yes\",ISBLANK(E282)),Lookup!$C$12,IF(AND(D282=\"Yes\",E282>=C282),Lookup!$C$7,IF(AND(D282=\"No\",E282>=C282),Lookup!$C$8,IF(AND(D282=\"Yes\",E282<C282),Lookup!$C$9,IF(AND(D282=\"No\",E282<C282),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G282),IF(OR(AND(ISBLANK(H282),ISBLANK(I282)),AND(H282=\"No\",ISBLANK(I282))),\"\",IF(AND(ISBLANK(H282),ISNUMBER(I282)),Lookup!$C$11,IF(AND(H282=\"Yes\",ISBLANK(I282)),Lookup!$C$12,IF(AND(H282=\"Yes\",I282>=G282),Lookup!$C$7,IF(AND(H282=\"No\",I282>=G282),Lookup!$C$8,IF(AND(H282=\"Yes\",I282<G282),Lookup!$C$9,IF(AND(H282=\"No\",I282<G282),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L282),IF(ISBLANK(M282),\"\",IF(M282>=L282,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O282),IF(ISBLANK(P282),\"\",IF(P282>=O282,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99243,"Office Or Other OutPt Consultations 40 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C283),IF(OR(AND(ISBLANK(D283),ISBLANK(E283)),AND(D283=\"No\",ISBLANK(E283))),\"\",IF(AND(ISBLANK(D283),ISNUMBER(E283)),Lookup!$C$11,IF(AND(D283=\"Yes\",ISBLANK(E283)),Lookup!$C$12,IF(AND(D283=\"Yes\",E283>=C283),Lookup!$C$7,IF(AND(D283=\"No\",E283>=C283),Lookup!$C$8,IF(AND(D283=\"Yes\",E283<C283),Lookup!$C$9,IF(AND(D283=\"No\",E283<C283),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G283),IF(OR(AND(ISBLANK(H283),ISBLANK(I283)),AND(H283=\"No\",ISBLANK(I283))),\"\",IF(AND(ISBLANK(H283),ISNUMBER(I283)),Lookup!$C$11,IF(AND(H283=\"Yes\",ISBLANK(I283)),Lookup!$C$12,IF(AND(H283=\"Yes\",I283>=G283),Lookup!$C$7,IF(AND(H283=\"No\",I283>=G283),Lookup!$C$8,IF(AND(H283=\"Yes\",I283<G283),Lookup!$C$9,IF(AND(H283=\"No\",I283<G283),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L283),IF(ISBLANK(M283),\"\",IF(M283>=L283,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O283),IF(ISBLANK(P283),\"\",IF(P283>=O283,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99244,"Office Or Other OutPt Consultations 60 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C284),IF(OR(AND(ISBLANK(D284),ISBLANK(E284)),AND(D284=\"No\",ISBLANK(E284))),\"\",IF(AND(ISBLANK(D284),ISNUMBER(E284)),Lookup!$C$11,IF(AND(D284=\"Yes\",ISBLANK(E284)),Lookup!$C$12,IF(AND(D284=\"Yes\",E284>=C284),Lookup!$C$7,IF(AND(D284=\"No\",E284>=C284),Lookup!$C$8,IF(AND(D284=\"Yes\",E284<C284),Lookup!$C$9,IF(AND(D284=\"No\",E284<C284),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G284),IF(OR(AND(ISBLANK(H284),ISBLANK(I284)),AND(H284=\"No\",ISBLANK(I284))),\"\",IF(AND(ISBLANK(H284),ISNUMBER(I284)),Lookup!$C$11,IF(AND(H284=\"Yes\",ISBLANK(I284)),Lookup!$C$12,IF(AND(H284=\"Yes\",I284>=G284),Lookup!$C$7,IF(AND(H284=\"No\",I284>=G284),Lookup!$C$8,IF(AND(H284=\"Yes\",I284<G284),Lookup!$C$9,IF(AND(H284=\"No\",I284<G284),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L284),IF(ISBLANK(M284),\"\",IF(M284>=L284,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O284),IF(ISBLANK(P284),\"\",IF(P284>=O284,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99245,"Office Or Other OutPt Consultations 80 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C285),IF(OR(AND(ISBLANK(D285),ISBLANK(E285)),AND(D285=\"No\",ISBLANK(E285))),\"\",IF(AND(ISBLANK(D285),ISNUMBER(E285)),Lookup!$C$11,IF(AND(D285=\"Yes\",ISBLANK(E285)),Lookup!$C$12,IF(AND(D285=\"Yes\",E285>=C285),Lookup!$C$7,IF(AND(D285=\"No\",E285>=C285),Lookup!$C$8,IF(AND(D285=\"Yes\",E285<C285),Lookup!$C$9,IF(AND(D285=\"No\",E285<C285),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G285),IF(OR(AND(ISBLANK(H285),ISBLANK(I285)),AND(H285=\"No\",ISBLANK(I285))),\"\",IF(AND(ISBLANK(H285),ISNUMBER(I285)),Lookup!$C$11,IF(AND(H285=\"Yes\",ISBLANK(I285)),Lookup!$C$12,IF(AND(H285=\"Yes\",I285>=G285),Lookup!$C$7,IF(AND(H285=\"No\",I285>=G285),Lookup!$C$8,IF(AND(H285=\"Yes\",I285<G285),Lookup!$C$9,IF(AND(H285=\"No\",I285<G285),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L285),IF(ISBLANK(M285),\"\",IF(M285>=L285,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O285),IF(ISBLANK(P285),\"\",IF(P285>=O285,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99324,"Domiciliary Or Rest Home Custodial Care 20 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C286),IF(OR(AND(ISBLANK(D286),ISBLANK(E286)),AND(D286=\"No\",ISBLANK(E286))),\"\",IF(AND(ISBLANK(D286),ISNUMBER(E286)),Lookup!$C$11,IF(AND(D286=\"Yes\",ISBLANK(E286)),Lookup!$C$12,IF(AND(D286=\"Yes\",E286>=C286),Lookup!$C$7,IF(AND(D286=\"No\",E286>=C286),Lookup!$C$8,IF(AND(D286=\"Yes\",E286<C286),Lookup!$C$9,IF(AND(D286=\"No\",E286<C286),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G286),IF(OR(AND(ISBLANK(H286),ISBLANK(I286)),AND(H286=\"No\",ISBLANK(I286))),\"\",IF(AND(ISBLANK(H286),ISNUMBER(I286)),Lookup!$C$11,IF(AND(H286=\"Yes\",ISBLANK(I286)),Lookup!$C$12,IF(AND(H286=\"Yes\",I286>=G286),Lookup!$C$7,IF(AND(H286=\"No\",I286>=G286),Lookup!$C$8,IF(AND(H286=\"Yes\",I286<G286),Lookup!$C$9,IF(AND(H286=\"No\",I286<G286),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L286),IF(ISBLANK(M286),\"\",IF(M286>=L286,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O286),IF(ISBLANK(P286),\"\",IF(P286>=O286,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99325,"Domiciliary Or Rest Home Custodial Care 30 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C287),IF(OR(AND(ISBLANK(D287),ISBLANK(E287)),AND(D287=\"No\",ISBLANK(E287))),\"\",IF(AND(ISBLANK(D287),ISNUMBER(E287)),Lookup!$C$11,IF(AND(D287=\"Yes\",ISBLANK(E287)),Lookup!$C$12,IF(AND(D287=\"Yes\",E287>=C287),Lookup!$C$7,IF(AND(D287=\"No\",E287>=C287),Lookup!$C$8,IF(AND(D287=\"Yes\",E287<C287),Lookup!$C$9,IF(AND(D287=\"No\",E287<C287),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G287),IF(OR(AND(ISBLANK(H287),ISBLANK(I287)),AND(H287=\"No\",ISBLANK(I287))),\"\",IF(AND(ISBLANK(H287),ISNUMBER(I287)),Lookup!$C$11,IF(AND(H287=\"Yes\",ISBLANK(I287)),Lookup!$C$12,IF(AND(H287=\"Yes\",I287>=G287),Lookup!$C$7,IF(AND(H287=\"No\",I287>=G287),Lookup!$C$8,IF(AND(H287=\"Yes\",I287<G287),Lookup!$C$9,IF(AND(H287=\"No\",I287<G287),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L287),IF(ISBLANK(M287),\"\",IF(M287>=L287,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O287),IF(ISBLANK(P287),\"\",IF(P287>=O287,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99326,"Domiciliary Or Rest Home Custodial Care 45 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C288),IF(OR(AND(ISBLANK(D288),ISBLANK(E288)),AND(D288=\"No\",ISBLANK(E288))),\"\",IF(AND(ISBLANK(D288),ISNUMBER(E288)),Lookup!$C$11,IF(AND(D288=\"Yes\",ISBLANK(E288)),Lookup!$C$12,IF(AND(D288=\"Yes\",E288>=C288),Lookup!$C$7,IF(AND(D288=\"No\",E288>=C288),Lookup!$C$8,IF(AND(D288=\"Yes\",E288<C288),Lookup!$C$9,IF(AND(D288=\"No\",E288<C288),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G288),IF(OR(AND(ISBLANK(H288),ISBLANK(I288)),AND(H288=\"No\",ISBLANK(I288))),\"\",IF(AND(ISBLANK(H288),ISNUMBER(I288)),Lookup!$C$11,IF(AND(H288=\"Yes\",ISBLANK(I288)),Lookup!$C$12,IF(AND(H288=\"Yes\",I288>=G288),Lookup!$C$7,IF(AND(H288=\"No\",I288>=G288),Lookup!$C$8,IF(AND(H288=\"Yes\",I288<G288),Lookup!$C$9,IF(AND(H288=\"No\",I288<G288),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L288),IF(ISBLANK(M288),\"\",IF(M288>=L288,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O288),IF(ISBLANK(P288),\"\",IF(P288>=O288,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99327,"Domiciliary Or Rest Home Custodial Care 60 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C289),IF(OR(AND(ISBLANK(D289),ISBLANK(E289)),AND(D289=\"No\",ISBLANK(E289))),\"\",IF(AND(ISBLANK(D289),ISNUMBER(E289)),Lookup!$C$11,IF(AND(D289=\"Yes\",ISBLANK(E289)),Lookup!$C$12,IF(AND(D289=\"Yes\",E289>=C289),Lookup!$C$7,IF(AND(D289=\"No\",E289>=C289),Lookup!$C$8,IF(AND(D289=\"Yes\",E289<C289),Lookup!$C$9,IF(AND(D289=\"No\",E289<C289),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G289),IF(OR(AND(ISBLANK(H289),ISBLANK(I289)),AND(H289=\"No\",ISBLANK(I289))),\"\",IF(AND(ISBLANK(H289),ISNUMBER(I289)),Lookup!$C$11,IF(AND(H289=\"Yes\",ISBLANK(I289)),Lookup!$C$12,IF(AND(H289=\"Yes\",I289>=G289),Lookup!$C$7,IF(AND(H289=\"No\",I289>=G289),Lookup!$C$8,IF(AND(H289=\"Yes\",I289<G289),Lookup!$C$9,IF(AND(H289=\"No\",I289<G289),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L289),IF(ISBLANK(M289),\"\",IF(M289>=L289,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O289),IF(ISBLANK(P289),\"\",IF(P289>=O289,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99328,"Domiciliary Or Rest Home Custodial Care 75 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C290),IF(OR(AND(ISBLANK(D290),ISBLANK(E290)),AND(D290=\"No\",ISBLANK(E290))),\"\",IF(AND(ISBLANK(D290),ISNUMBER(E290)),Lookup!$C$11,IF(AND(D290=\"Yes\",ISBLANK(E290)),Lookup!$C$12,IF(AND(D290=\"Yes\",E290>=C290),Lookup!$C$7,IF(AND(D290=\"No\",E290>=C290),Lookup!$C$8,IF(AND(D290=\"Yes\",E290<C290),Lookup!$C$9,IF(AND(D290=\"No\",E290<C290),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G290),IF(OR(AND(ISBLANK(H290),ISBLANK(I290)),AND(H290=\"No\",ISBLANK(I290))),\"\",IF(AND(ISBLANK(H290),ISNUMBER(I290)),Lookup!$C$11,IF(AND(H290=\"Yes\",ISBLANK(I290)),Lookup!$C$12,IF(AND(H290=\"Yes\",I290>=G290),Lookup!$C$7,IF(AND(H290=\"No\",I290>=G290),Lookup!$C$8,IF(AND(H290=\"Yes\",I290<G290),Lookup!$C$9,IF(AND(H290=\"No\",I290<G290),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L290),IF(ISBLANK(M290),\"\",IF(M290>=L290,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O290),IF(ISBLANK(P290),\"\",IF(P290>=O290,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99334,"Domiciiary Or Rest Home Evaluation 15 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C291),IF(OR(AND(ISBLANK(D291),ISBLANK(E291)),AND(D291=\"No\",ISBLANK(E291))),\"\",IF(AND(ISBLANK(D291),ISNUMBER(E291)),Lookup!$C$11,IF(AND(D291=\"Yes\",ISBLANK(E291)),Lookup!$C$12,IF(AND(D291=\"Yes\",E291>=C291),Lookup!$C$7,IF(AND(D291=\"No\",E291>=C291),Lookup!$C$8,IF(AND(D291=\"Yes\",E291<C291),Lookup!$C$9,IF(AND(D291=\"No\",E291<C291),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G291),IF(OR(AND(ISBLANK(H291),ISBLANK(I291)),AND(H291=\"No\",ISBLANK(I291))),\"\",IF(AND(ISBLANK(H291),ISNUMBER(I291)),Lookup!$C$11,IF(AND(H291=\"Yes\",ISBLANK(I291)),Lookup!$C$12,IF(AND(H291=\"Yes\",I291>=G291),Lookup!$C$7,IF(AND(H291=\"No\",I291>=G291),Lookup!$C$8,IF(AND(H291=\"Yes\",I291<G291),Lookup!$C$9,IF(AND(H291=\"No\",I291<G291),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L291),IF(ISBLANK(M291),\"\",IF(M291>=L291,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O291),IF(ISBLANK(P291),\"\",IF(P291>=O291,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99335,"Domiciliary Or Rest Home Evaluation 25 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C292),IF(OR(AND(ISBLANK(D292),ISBLANK(E292)),AND(D292=\"No\",ISBLANK(E292))),\"\",IF(AND(ISBLANK(D292),ISNUMBER(E292)),Lookup!$C$11,IF(AND(D292=\"Yes\",ISBLANK(E292)),Lookup!$C$12,IF(AND(D292=\"Yes\",E292>=C292),Lookup!$C$7,IF(AND(D292=\"No\",E292>=C292),Lookup!$C$8,IF(AND(D292=\"Yes\",E292<C292),Lookup!$C$9,IF(AND(D292=\"No\",E292<C292),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G292),IF(OR(AND(ISBLANK(H292),ISBLANK(I292)),AND(H292=\"No\",ISBLANK(I292))),\"\",IF(AND(ISBLANK(H292),ISNUMBER(I292)),Lookup!$C$11,IF(AND(H292=\"Yes\",ISBLANK(I292)),Lookup!$C$12,IF(AND(H292=\"Yes\",I292>=G292),Lookup!$C$7,IF(AND(H292=\"No\",I292>=G292),Lookup!$C$8,IF(AND(H292=\"Yes\",I292<G292),Lookup!$C$9,IF(AND(H292=\"No\",I292<G292),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L292),IF(ISBLANK(M292),\"\",IF(M292>=L292,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O292),IF(ISBLANK(P292),\"\",IF(P292>=O292,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99336,"Domiciliary Or Rest Home Evaluation 40 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C293),IF(OR(AND(ISBLANK(D293),ISBLANK(E293)),AND(D293=\"No\",ISBLANK(E293))),\"\",IF(AND(ISBLANK(D293),ISNUMBER(E293)),Lookup!$C$11,IF(AND(D293=\"Yes\",ISBLANK(E293)),Lookup!$C$12,IF(AND(D293=\"Yes\",E293>=C293),Lookup!$C$7,IF(AND(D293=\"No\",E293>=C293),Lookup!$C$8,IF(AND(D293=\"Yes\",E293<C293),Lookup!$C$9,IF(AND(D293=\"No\",E293<C293),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G293),IF(OR(AND(ISBLANK(H293),ISBLANK(I293)),AND(H293=\"No\",ISBLANK(I293))),\"\",IF(AND(ISBLANK(H293),ISNUMBER(I293)),Lookup!$C$11,IF(AND(H293=\"Yes\",ISBLANK(I293)),Lookup!$C$12,IF(AND(H293=\"Yes\",I293>=G293),Lookup!$C$7,IF(AND(H293=\"No\",I293>=G293),Lookup!$C$8,IF(AND(H293=\"Yes\",I293<G293),Lookup!$C$9,IF(AND(H293=\"No\",I293<G293),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L293),IF(ISBLANK(M293),\"\",IF(M293>=L293,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O293),IF(ISBLANK(P293),\"\",IF(P293>=O293,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99337,"Domiciliary Or Rest Home Evaluation 60 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C294),IF(OR(AND(ISBLANK(D294),ISBLANK(E294)),AND(D294=\"No\",ISBLANK(E294))),\"\",IF(AND(ISBLANK(D294),ISNUMBER(E294)),Lookup!$C$11,IF(AND(D294=\"Yes\",ISBLANK(E294)),Lookup!$C$12,IF(AND(D294=\"Yes\",E294>=C294),Lookup!$C$7,IF(AND(D294=\"No\",E294>=C294),Lookup!$C$8,IF(AND(D294=\"Yes\",E294<C294),Lookup!$C$9,IF(AND(D294=\"No\",E294<C294),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G294),IF(OR(AND(ISBLANK(H294),ISBLANK(I294)),AND(H294=\"No\",ISBLANK(I294))),\"\",IF(AND(ISBLANK(H294),ISNUMBER(I294)),Lookup!$C$11,IF(AND(H294=\"Yes\",ISBLANK(I294)),Lookup!$C$12,IF(AND(H294=\"Yes\",I294>=G294),Lookup!$C$7,IF(AND(H294=\"No\",I294>=G294),Lookup!$C$8,IF(AND(H294=\"Yes\",I294<G294),Lookup!$C$9,IF(AND(H294=\"No\",I294<G294),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L294),IF(ISBLANK(M294),\"\",IF(M294>=L294,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O294),IF(ISBLANK(P294),\"\",IF(P294>=O294,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99339,"Individual Physician Supervision Of Pt (W/OutPt) In Home, Domiciliary Or Rest Home Complex 15-29 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C295),IF(OR(AND(ISBLANK(D295),ISBLANK(E295)),AND(D295=\"No\",ISBLANK(E295))),\"\",IF(AND(ISBLANK(D295),ISNUMBER(E295)),Lookup!$C$11,IF(AND(D295=\"Yes\",ISBLANK(E295)),Lookup!$C$12,IF(AND(D295=\"Yes\",E295>=C295),Lookup!$C$7,IF(AND(D295=\"No\",E295>=C295),Lookup!$C$8,IF(AND(D295=\"Yes\",E295<C295),Lookup!$C$9,IF(AND(D295=\"No\",E295<C295),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G295),IF(OR(AND(ISBLANK(H295),ISBLANK(I295)),AND(H295=\"No\",ISBLANK(I295))),\"\",IF(AND(ISBLANK(H295),ISNUMBER(I295)),Lookup!$C$11,IF(AND(H295=\"Yes\",ISBLANK(I295)),Lookup!$C$12,IF(AND(H295=\"Yes\",I295>=G295),Lookup!$C$7,IF(AND(H295=\"No\",I295>=G295),Lookup!$C$8,IF(AND(H295=\"Yes\",I295<G295),Lookup!$C$9,IF(AND(H295=\"No\",I295<G295),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L295),IF(ISBLANK(M295),\"\",IF(M295>=L295,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O295),IF(ISBLANK(P295),\"\",IF(P295>=O295,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99340,"Individual Physician Supervision Of Pt (W/OutPt) In Home, Domiciliary Or Rest Home Complex 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C296),IF(OR(AND(ISBLANK(D296),ISBLANK(E296)),AND(D296=\"No\",ISBLANK(E296))),\"\",IF(AND(ISBLANK(D296),ISNUMBER(E296)),Lookup!$C$11,IF(AND(D296=\"Yes\",ISBLANK(E296)),Lookup!$C$12,IF(AND(D296=\"Yes\",E296>=C296),Lookup!$C$7,IF(AND(D296=\"No\",E296>=C296),Lookup!$C$8,IF(AND(D296=\"Yes\",E296<C296),Lookup!$C$9,IF(AND(D296=\"No\",E296<C296),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G296),IF(OR(AND(ISBLANK(H296),ISBLANK(I296)),AND(H296=\"No\",ISBLANK(I296))),\"\",IF(AND(ISBLANK(H296),ISNUMBER(I296)),Lookup!$C$11,IF(AND(H296=\"Yes\",ISBLANK(I296)),Lookup!$C$12,IF(AND(H296=\"Yes\",I296>=G296),Lookup!$C$7,IF(AND(H296=\"No\",I296>=G296),Lookup!$C$8,IF(AND(H296=\"Yes\",I296<G296),Lookup!$C$9,IF(AND(H296=\"No\",I296<G296),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L296),IF(ISBLANK(M296),\"\",IF(M296>=L296,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O296),IF(ISBLANK(P296),\"\",IF(P296>=O296,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99341,"Home Visit New Pt 20 Min ",49.04,null,null,{"$f":"IF(ISNUMBER(C297),IF(OR(AND(ISBLANK(D297),ISBLANK(E297)),AND(D297=\"No\",ISBLANK(E297))),\"\",IF(AND(ISBLANK(D297),ISNUMBER(E297)),Lookup!$C$11,IF(AND(D297=\"Yes\",ISBLANK(E297)),Lookup!$C$12,IF(AND(D297=\"Yes\",E297>=C297),Lookup!$C$7,IF(AND(D297=\"No\",E297>=C297),Lookup!$C$8,IF(AND(D297=\"Yes\",E297<C297),Lookup!$C$9,IF(AND(D297=\"No\",E297<C297),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},49.04,null,null,{"$f":"IF(ISNUMBER(G297),IF(OR(AND(ISBLANK(H297),ISBLANK(I297)),AND(H297=\"No\",ISBLANK(I297))),\"\",IF(AND(ISBLANK(H297),ISNUMBER(I297)),Lookup!$C$11,IF(AND(H297=\"Yes\",ISBLANK(I297)),Lookup!$C$12,IF(AND(H297=\"Yes\",I297>=G297),Lookup!$C$7,IF(AND(H297=\"No\",I297>=G297),Lookup!$C$8,IF(AND(H297=\"Yes\",I297<G297),Lookup!$C$9,IF(AND(H297=\"No\",I297<G297),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,47.66,null,{"$f":"IF(ISNUMBER(L297),IF(ISBLANK(M297),\"\",IF(M297>=L297,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},47.66,null,{"$f":"IF(ISNUMBER(O297),IF(ISBLANK(P297),\"\",IF(P297>=O297,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99342,"Home Visit New Pt 30 Min ",77.760000000000005,null,null,{"$f":"IF(ISNUMBER(C298),IF(OR(AND(ISBLANK(D298),ISBLANK(E298)),AND(D298=\"No\",ISBLANK(E298))),\"\",IF(AND(ISBLANK(D298),ISNUMBER(E298)),Lookup!$C$11,IF(AND(D298=\"Yes\",ISBLANK(E298)),Lookup!$C$12,IF(AND(D298=\"Yes\",E298>=C298),Lookup!$C$7,IF(AND(D298=\"No\",E298>=C298),Lookup!$C$8,IF(AND(D298=\"Yes\",E298<C298),Lookup!$C$9,IF(AND(D298=\"No\",E298<C298),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},77.760000000000005,null,null,{"$f":"IF(ISNUMBER(G298),IF(OR(AND(ISBLANK(H298),ISBLANK(I298)),AND(H298=\"No\",ISBLANK(I298))),\"\",IF(AND(ISBLANK(H298),ISNUMBER(I298)),Lookup!$C$11,IF(AND(H298=\"Yes\",ISBLANK(I298)),Lookup!$C$12,IF(AND(H298=\"Yes\",I298>=G298),Lookup!$C$7,IF(AND(H298=\"No\",I298>=G298),Lookup!$C$8,IF(AND(H298=\"Yes\",I298<G298),Lookup!$C$9,IF(AND(H298=\"No\",I298<G298),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,75.900000000000006,null,{"$f":"IF(ISNUMBER(L298),IF(ISBLANK(M298),\"\",IF(M298>=L298,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},75.900000000000006,null,{"$f":"IF(ISNUMBER(O298),IF(ISBLANK(P298),\"\",IF(P298>=O298,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99343,"Home Visit New Pt 45 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C299),IF(OR(AND(ISBLANK(D299),ISBLANK(E299)),AND(D299=\"No\",ISBLANK(E299))),\"\",IF(AND(ISBLANK(D299),ISNUMBER(E299)),Lookup!$C$11,IF(AND(D299=\"Yes\",ISBLANK(E299)),Lookup!$C$12,IF(AND(D299=\"Yes\",E299>=C299),Lookup!$C$7,IF(AND(D299=\"No\",E299>=C299),Lookup!$C$8,IF(AND(D299=\"Yes\",E299<C299),Lookup!$C$9,IF(AND(D299=\"No\",E299<C299),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G299),IF(OR(AND(ISBLANK(H299),ISBLANK(I299)),AND(H299=\"No\",ISBLANK(I299))),\"\",IF(AND(ISBLANK(H299),ISNUMBER(I299)),Lookup!$C$11,IF(AND(H299=\"Yes\",ISBLANK(I299)),Lookup!$C$12,IF(AND(H299=\"Yes\",I299>=G299),Lookup!$C$7,IF(AND(H299=\"No\",I299>=G299),Lookup!$C$8,IF(AND(H299=\"Yes\",I299<G299),Lookup!$C$9,IF(AND(H299=\"No\",I299<G299),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L299),IF(ISBLANK(M299),\"\",IF(M299>=L299,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O299),IF(ISBLANK(P299),\"\",IF(P299>=O299,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99344,"Home Visit New Pt 60 Min ",141.07,null,null,{"$f":"IF(ISNUMBER(C300),IF(OR(AND(ISBLANK(D300),ISBLANK(E300)),AND(D300=\"No\",ISBLANK(E300))),\"\",IF(AND(ISBLANK(D300),ISNUMBER(E300)),Lookup!$C$11,IF(AND(D300=\"Yes\",ISBLANK(E300)),Lookup!$C$12,IF(AND(D300=\"Yes\",E300>=C300),Lookup!$C$7,IF(AND(D300=\"No\",E300>=C300),Lookup!$C$8,IF(AND(D300=\"Yes\",E300<C300),Lookup!$C$9,IF(AND(D300=\"No\",E300<C300),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},141.07,null,null,{"$f":"IF(ISNUMBER(G300),IF(OR(AND(ISBLANK(H300),ISBLANK(I300)),AND(H300=\"No\",ISBLANK(I300))),\"\",IF(AND(ISBLANK(H300),ISNUMBER(I300)),Lookup!$C$11,IF(AND(H300=\"Yes\",ISBLANK(I300)),Lookup!$C$12,IF(AND(H300=\"Yes\",I300>=G300),Lookup!$C$7,IF(AND(H300=\"No\",I300>=G300),Lookup!$C$8,IF(AND(H300=\"Yes\",I300<G300),Lookup!$C$9,IF(AND(H300=\"No\",I300<G300),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,137.09,null,{"$f":"IF(ISNUMBER(L300),IF(ISBLANK(M300),\"\",IF(M300>=L300,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},137.09,null,{"$f":"IF(ISNUMBER(O300),IF(ISBLANK(P300),\"\",IF(P300>=O300,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99345,"Home Visit New Pt 75 Min",200.3,null,null,{"$f":"IF(ISNUMBER(C301),IF(OR(AND(ISBLANK(D301),ISBLANK(E301)),AND(D301=\"No\",ISBLANK(E301))),\"\",IF(AND(ISBLANK(D301),ISNUMBER(E301)),Lookup!$C$11,IF(AND(D301=\"Yes\",ISBLANK(E301)),Lookup!$C$12,IF(AND(D301=\"Yes\",E301>=C301),Lookup!$C$7,IF(AND(D301=\"No\",E301>=C301),Lookup!$C$8,IF(AND(D301=\"Yes\",E301<C301),Lookup!$C$9,IF(AND(D301=\"No\",E301<C301),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},200.3,null,null,{"$f":"IF(ISNUMBER(G301),IF(OR(AND(ISBLANK(H301),ISBLANK(I301)),AND(H301=\"No\",ISBLANK(I301))),\"\",IF(AND(ISBLANK(H301),ISNUMBER(I301)),Lookup!$C$11,IF(AND(H301=\"Yes\",ISBLANK(I301)),Lookup!$C$12,IF(AND(H301=\"Yes\",I301>=G301),Lookup!$C$7,IF(AND(H301=\"No\",I301>=G301),Lookup!$C$8,IF(AND(H301=\"Yes\",I301<G301),Lookup!$C$9,IF(AND(H301=\"No\",I301<G301),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,193.99,null,{"$f":"IF(ISNUMBER(L301),IF(ISBLANK(M301),\"\",IF(M301>=L301,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},193.99,null,{"$f":"IF(ISNUMBER(O301),IF(ISBLANK(P301),\"\",IF(P301>=O301,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99346,"Home Visit New Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C302),IF(OR(AND(ISBLANK(D302),ISBLANK(E302)),AND(D302=\"No\",ISBLANK(E302))),\"\",IF(AND(ISBLANK(D302),ISNUMBER(E302)),Lookup!$C$11,IF(AND(D302=\"Yes\",ISBLANK(E302)),Lookup!$C$12,IF(AND(D302=\"Yes\",E302>=C302),Lookup!$C$7,IF(AND(D302=\"No\",E302>=C302),Lookup!$C$8,IF(AND(D302=\"Yes\",E302<C302),Lookup!$C$9,IF(AND(D302=\"No\",E302<C302),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G302),IF(OR(AND(ISBLANK(H302),ISBLANK(I302)),AND(H302=\"No\",ISBLANK(I302))),\"\",IF(AND(ISBLANK(H302),ISNUMBER(I302)),Lookup!$C$11,IF(AND(H302=\"Yes\",ISBLANK(I302)),Lookup!$C$12,IF(AND(H302=\"Yes\",I302>=G302),Lookup!$C$7,IF(AND(H302=\"No\",I302>=G302),Lookup!$C$8,IF(AND(H302=\"Yes\",I302<G302),Lookup!$C$9,IF(AND(H302=\"No\",I302<G302),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L302),IF(ISBLANK(M302),\"\",IF(M302>=L302,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O302),IF(ISBLANK(P302),\"\",IF(P302>=O302,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99347,"Home Visit Established Pt 15 Min",45.02,null,null,{"$f":"IF(ISNUMBER(C303),IF(OR(AND(ISBLANK(D303),ISBLANK(E303)),AND(D303=\"No\",ISBLANK(E303))),\"\",IF(AND(ISBLANK(D303),ISNUMBER(E303)),Lookup!$C$11,IF(AND(D303=\"Yes\",ISBLANK(E303)),Lookup!$C$12,IF(AND(D303=\"Yes\",E303>=C303),Lookup!$C$7,IF(AND(D303=\"No\",E303>=C303),Lookup!$C$8,IF(AND(D303=\"Yes\",E303<C303),Lookup!$C$9,IF(AND(D303=\"No\",E303<C303),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},45.02,null,null,{"$f":"IF(ISNUMBER(G303),IF(OR(AND(ISBLANK(H303),ISBLANK(I303)),AND(H303=\"No\",ISBLANK(I303))),\"\",IF(AND(ISBLANK(H303),ISNUMBER(I303)),Lookup!$C$11,IF(AND(H303=\"Yes\",ISBLANK(I303)),Lookup!$C$12,IF(AND(H303=\"Yes\",I303>=G303),Lookup!$C$7,IF(AND(H303=\"No\",I303>=G303),Lookup!$C$8,IF(AND(H303=\"Yes\",I303<G303),Lookup!$C$9,IF(AND(H303=\"No\",I303<G303),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,43.76,null,{"$f":"IF(ISNUMBER(L303),IF(ISBLANK(M303),\"\",IF(M303>=L303,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},43.76,null,{"$f":"IF(ISNUMBER(O303),IF(ISBLANK(P303),\"\",IF(P303>=O303,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99348,"Home Visit Established Pt 25 Min",76.02,null,null,{"$f":"IF(ISNUMBER(C304),IF(OR(AND(ISBLANK(D304),ISBLANK(E304)),AND(D304=\"No\",ISBLANK(E304))),\"\",IF(AND(ISBLANK(D304),ISNUMBER(E304)),Lookup!$C$11,IF(AND(D304=\"Yes\",ISBLANK(E304)),Lookup!$C$12,IF(AND(D304=\"Yes\",E304>=C304),Lookup!$C$7,IF(AND(D304=\"No\",E304>=C304),Lookup!$C$8,IF(AND(D304=\"Yes\",E304<C304),Lookup!$C$9,IF(AND(D304=\"No\",E304<C304),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},76.02,null,null,{"$f":"IF(ISNUMBER(G304),IF(OR(AND(ISBLANK(H304),ISBLANK(I304)),AND(H304=\"No\",ISBLANK(I304))),\"\",IF(AND(ISBLANK(H304),ISNUMBER(I304)),Lookup!$C$11,IF(AND(H304=\"Yes\",ISBLANK(I304)),Lookup!$C$12,IF(AND(H304=\"Yes\",I304>=G304),Lookup!$C$7,IF(AND(H304=\"No\",I304>=G304),Lookup!$C$8,IF(AND(H304=\"Yes\",I304<G304),Lookup!$C$9,IF(AND(H304=\"No\",I304<G304),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,74.19,null,{"$f":"IF(ISNUMBER(L304),IF(ISBLANK(M304),\"\",IF(M304>=L304,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},74.19,null,{"$f":"IF(ISNUMBER(O304),IF(ISBLANK(P304),\"\",IF(P304>=O304,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99349,"Home Visit Established Pt 40 Min",126.3,null,null,{"$f":"IF(ISNUMBER(C305),IF(OR(AND(ISBLANK(D305),ISBLANK(E305)),AND(D305=\"No\",ISBLANK(E305))),\"\",IF(AND(ISBLANK(D305),ISNUMBER(E305)),Lookup!$C$11,IF(AND(D305=\"Yes\",ISBLANK(E305)),Lookup!$C$12,IF(AND(D305=\"Yes\",E305>=C305),Lookup!$C$7,IF(AND(D305=\"No\",E305>=C305),Lookup!$C$8,IF(AND(D305=\"Yes\",E305<C305),Lookup!$C$9,IF(AND(D305=\"No\",E305<C305),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},126.3,null,null,{"$f":"IF(ISNUMBER(G305),IF(OR(AND(ISBLANK(H305),ISBLANK(I305)),AND(H305=\"No\",ISBLANK(I305))),\"\",IF(AND(ISBLANK(H305),ISNUMBER(I305)),Lookup!$C$11,IF(AND(H305=\"Yes\",ISBLANK(I305)),Lookup!$C$12,IF(AND(H305=\"Yes\",I305>=G305),Lookup!$C$7,IF(AND(H305=\"No\",I305>=G305),Lookup!$C$8,IF(AND(H305=\"Yes\",I305<G305),Lookup!$C$9,IF(AND(H305=\"No\",I305<G305),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,122.73,null,{"$f":"IF(ISNUMBER(L305),IF(ISBLANK(M305),\"\",IF(M305>=L305,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},122.73,null,{"$f":"IF(ISNUMBER(O305),IF(ISBLANK(P305),\"\",IF(P305>=O305,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99350,"Home Visit Established Pt 60 Min ",183.97,null,null,{"$f":"IF(ISNUMBER(C306),IF(OR(AND(ISBLANK(D306),ISBLANK(E306)),AND(D306=\"No\",ISBLANK(E306))),\"\",IF(AND(ISBLANK(D306),ISNUMBER(E306)),Lookup!$C$11,IF(AND(D306=\"Yes\",ISBLANK(E306)),Lookup!$C$12,IF(AND(D306=\"Yes\",E306>=C306),Lookup!$C$7,IF(AND(D306=\"No\",E306>=C306),Lookup!$C$8,IF(AND(D306=\"Yes\",E306<C306),Lookup!$C$9,IF(AND(D306=\"No\",E306<C306),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},183.97,null,null,{"$f":"IF(ISNUMBER(G306),IF(OR(AND(ISBLANK(H306),ISBLANK(I306)),AND(H306=\"No\",ISBLANK(I306))),\"\",IF(AND(ISBLANK(H306),ISNUMBER(I306)),Lookup!$C$11,IF(AND(H306=\"Yes\",ISBLANK(I306)),Lookup!$C$12,IF(AND(H306=\"Yes\",I306>=G306),Lookup!$C$7,IF(AND(H306=\"No\",I306>=G306),Lookup!$C$8,IF(AND(H306=\"Yes\",I306<G306),Lookup!$C$9,IF(AND(H306=\"No\",I306<G306),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,178.14,null,{"$f":"IF(ISNUMBER(L306),IF(ISBLANK(M306),\"\",IF(M306>=L306,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},178.14,null,{"$f":"IF(ISNUMBER(O306),IF(ISBLANK(P306),\"\",IF(P306>=O306,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99354,"Prolonged Service OutPt 60 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C307),IF(OR(AND(ISBLANK(D307),ISBLANK(E307)),AND(D307=\"No\",ISBLANK(E307))),\"\",IF(AND(ISBLANK(D307),ISNUMBER(E307)),Lookup!$C$11,IF(AND(D307=\"Yes\",ISBLANK(E307)),Lookup!$C$12,IF(AND(D307=\"Yes\",E307>=C307),Lookup!$C$7,IF(AND(D307=\"No\",E307>=C307),Lookup!$C$8,IF(AND(D307=\"Yes\",E307<C307),Lookup!$C$9,IF(AND(D307=\"No\",E307<C307),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G307),IF(OR(AND(ISBLANK(H307),ISBLANK(I307)),AND(H307=\"No\",ISBLANK(I307))),\"\",IF(AND(ISBLANK(H307),ISNUMBER(I307)),Lookup!$C$11,IF(AND(H307=\"Yes\",ISBLANK(I307)),Lookup!$C$12,IF(AND(H307=\"Yes\",I307>=G307),Lookup!$C$7,IF(AND(H307=\"No\",I307>=G307),Lookup!$C$8,IF(AND(H307=\"Yes\",I307<G307),Lookup!$C$9,IF(AND(H307=\"No\",I307<G307),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L307),IF(ISBLANK(M307),\"\",IF(M307>=L307,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O307),IF(ISBLANK(P307),\"\",IF(P307>=O307,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99355,"Prolonged Service OutPt Add 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C308),IF(OR(AND(ISBLANK(D308),ISBLANK(E308)),AND(D308=\"No\",ISBLANK(E308))),\"\",IF(AND(ISBLANK(D308),ISNUMBER(E308)),Lookup!$C$11,IF(AND(D308=\"Yes\",ISBLANK(E308)),Lookup!$C$12,IF(AND(D308=\"Yes\",E308>=C308),Lookup!$C$7,IF(AND(D308=\"No\",E308>=C308),Lookup!$C$8,IF(AND(D308=\"Yes\",E308<C308),Lookup!$C$9,IF(AND(D308=\"No\",E308<C308),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G308),IF(OR(AND(ISBLANK(H308),ISBLANK(I308)),AND(H308=\"No\",ISBLANK(I308))),\"\",IF(AND(ISBLANK(H308),ISNUMBER(I308)),Lookup!$C$11,IF(AND(H308=\"Yes\",ISBLANK(I308)),Lookup!$C$12,IF(AND(H308=\"Yes\",I308>=G308),Lookup!$C$7,IF(AND(H308=\"No\",I308>=G308),Lookup!$C$8,IF(AND(H308=\"Yes\",I308<G308),Lookup!$C$9,IF(AND(H308=\"No\",I308<G308),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L308),IF(ISBLANK(M308),\"\",IF(M308>=L308,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O308),IF(ISBLANK(P308),\"\",IF(P308>=O308,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99356,"Prolonged Service Requiring Unit/Floor 60 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C309),IF(OR(AND(ISBLANK(D309),ISBLANK(E309)),AND(D309=\"No\",ISBLANK(E309))),\"\",IF(AND(ISBLANK(D309),ISNUMBER(E309)),Lookup!$C$11,IF(AND(D309=\"Yes\",ISBLANK(E309)),Lookup!$C$12,IF(AND(D309=\"Yes\",E309>=C309),Lookup!$C$7,IF(AND(D309=\"No\",E309>=C309),Lookup!$C$8,IF(AND(D309=\"Yes\",E309<C309),Lookup!$C$9,IF(AND(D309=\"No\",E309<C309),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G309),IF(OR(AND(ISBLANK(H309),ISBLANK(I309)),AND(H309=\"No\",ISBLANK(I309))),\"\",IF(AND(ISBLANK(H309),ISNUMBER(I309)),Lookup!$C$11,IF(AND(H309=\"Yes\",ISBLANK(I309)),Lookup!$C$12,IF(AND(H309=\"Yes\",I309>=G309),Lookup!$C$7,IF(AND(H309=\"No\",I309>=G309),Lookup!$C$8,IF(AND(H309=\"Yes\",I309<G309),Lookup!$C$9,IF(AND(H309=\"No\",I309<G309),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L309),IF(ISBLANK(M309),\"\",IF(M309>=L309,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O309),IF(ISBLANK(P309),\"\",IF(P309>=O309,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99357,"Prolonged Service Requiring Unit/Floor Add 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C310),IF(OR(AND(ISBLANK(D310),ISBLANK(E310)),AND(D310=\"No\",ISBLANK(E310))),\"\",IF(AND(ISBLANK(D310),ISNUMBER(E310)),Lookup!$C$11,IF(AND(D310=\"Yes\",ISBLANK(E310)),Lookup!$C$12,IF(AND(D310=\"Yes\",E310>=C310),Lookup!$C$7,IF(AND(D310=\"No\",E310>=C310),Lookup!$C$8,IF(AND(D310=\"Yes\",E310<C310),Lookup!$C$9,IF(AND(D310=\"No\",E310<C310),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G310),IF(OR(AND(ISBLANK(H310),ISBLANK(I310)),AND(H310=\"No\",ISBLANK(I310))),\"\",IF(AND(ISBLANK(H310),ISNUMBER(I310)),Lookup!$C$11,IF(AND(H310=\"Yes\",ISBLANK(I310)),Lookup!$C$12,IF(AND(H310=\"Yes\",I310>=G310),Lookup!$C$7,IF(AND(H310=\"No\",I310>=G310),Lookup!$C$8,IF(AND(H310=\"Yes\",I310<G310),Lookup!$C$9,IF(AND(H310=\"No\",I310<G310),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L310),IF(ISBLANK(M310),\"\",IF(M310>=L310,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O310),IF(ISBLANK(P310),\"\",IF(P310>=O310,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99358,"Prolong Service W/O Contact ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C311),IF(OR(AND(ISBLANK(D311),ISBLANK(E311)),AND(D311=\"No\",ISBLANK(E311))),\"\",IF(AND(ISBLANK(D311),ISNUMBER(E311)),Lookup!$C$11,IF(AND(D311=\"Yes\",ISBLANK(E311)),Lookup!$C$12,IF(AND(D311=\"Yes\",E311>=C311),Lookup!$C$7,IF(AND(D311=\"No\",E311>=C311),Lookup!$C$8,IF(AND(D311=\"Yes\",E311<C311),Lookup!$C$9,IF(AND(D311=\"No\",E311<C311),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G311),IF(OR(AND(ISBLANK(H311),ISBLANK(I311)),AND(H311=\"No\",ISBLANK(I311))),\"\",IF(AND(ISBLANK(H311),ISNUMBER(I311)),Lookup!$C$11,IF(AND(H311=\"Yes\",ISBLANK(I311)),Lookup!$C$12,IF(AND(H311=\"Yes\",I311>=G311),Lookup!$C$7,IF(AND(H311=\"No\",I311>=G311),Lookup!$C$8,IF(AND(H311=\"Yes\",I311<G311),Lookup!$C$9,IF(AND(H311=\"No\",I311<G311),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L311),IF(ISBLANK(M311),\"\",IF(M311>=L311,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O311),IF(ISBLANK(P311),\"\",IF(P311>=O311,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99359,"Prolong Serv W/O Contact Add 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C312),IF(OR(AND(ISBLANK(D312),ISBLANK(E312)),AND(D312=\"No\",ISBLANK(E312))),\"\",IF(AND(ISBLANK(D312),ISNUMBER(E312)),Lookup!$C$11,IF(AND(D312=\"Yes\",ISBLANK(E312)),Lookup!$C$12,IF(AND(D312=\"Yes\",E312>=C312),Lookup!$C$7,IF(AND(D312=\"No\",E312>=C312),Lookup!$C$8,IF(AND(D312=\"Yes\",E312<C312),Lookup!$C$9,IF(AND(D312=\"No\",E312<C312),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G312),IF(OR(AND(ISBLANK(H312),ISBLANK(I312)),AND(H312=\"No\",ISBLANK(I312))),\"\",IF(AND(ISBLANK(H312),ISNUMBER(I312)),Lookup!$C$11,IF(AND(H312=\"Yes\",ISBLANK(I312)),Lookup!$C$12,IF(AND(H312=\"Yes\",I312>=G312),Lookup!$C$7,IF(AND(H312=\"No\",I312>=G312),Lookup!$C$8,IF(AND(H312=\"Yes\",I312<G312),Lookup!$C$9,IF(AND(H312=\"No\",I312<G312),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L312),IF(ISBLANK(M312),\"\",IF(M312>=L312,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O312),IF(ISBLANK(P312),\"\",IF(P312>=O312,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99366,"Team Conf W/ Pt By Healthcare Prof 30 Min W/Physician","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C313),IF(OR(AND(ISBLANK(D313),ISBLANK(E313)),AND(D313=\"No\",ISBLANK(E313))),\"\",IF(AND(ISBLANK(D313),ISNUMBER(E313)),Lookup!$C$11,IF(AND(D313=\"Yes\",ISBLANK(E313)),Lookup!$C$12,IF(AND(D313=\"Yes\",E313>=C313),Lookup!$C$7,IF(AND(D313=\"No\",E313>=C313),Lookup!$C$8,IF(AND(D313=\"Yes\",E313<C313),Lookup!$C$9,IF(AND(D313=\"No\",E313<C313),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G313),IF(OR(AND(ISBLANK(H313),ISBLANK(I313)),AND(H313=\"No\",ISBLANK(I313))),\"\",IF(AND(ISBLANK(H313),ISNUMBER(I313)),Lookup!$C$11,IF(AND(H313=\"Yes\",ISBLANK(I313)),Lookup!$C$12,IF(AND(H313=\"Yes\",I313>=G313),Lookup!$C$7,IF(AND(H313=\"No\",I313>=G313),Lookup!$C$8,IF(AND(H313=\"Yes\",I313<G313),Lookup!$C$9,IF(AND(H313=\"No\",I313<G313),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L313),IF(ISBLANK(M313),\"\",IF(M313>=L313,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O313),IF(ISBLANK(P313),\"\",IF(P313>=O313,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99367,"Team Conf W/Out Pt By Healthcare Prof 30 Min W/Physician ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C314),IF(OR(AND(ISBLANK(D314),ISBLANK(E314)),AND(D314=\"No\",ISBLANK(E314))),\"\",IF(AND(ISBLANK(D314),ISNUMBER(E314)),Lookup!$C$11,IF(AND(D314=\"Yes\",ISBLANK(E314)),Lookup!$C$12,IF(AND(D314=\"Yes\",E314>=C314),Lookup!$C$7,IF(AND(D314=\"No\",E314>=C314),Lookup!$C$8,IF(AND(D314=\"Yes\",E314<C314),Lookup!$C$9,IF(AND(D314=\"No\",E314<C314),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G314),IF(OR(AND(ISBLANK(H314),ISBLANK(I314)),AND(H314=\"No\",ISBLANK(I314))),\"\",IF(AND(ISBLANK(H314),ISNUMBER(I314)),Lookup!$C$11,IF(AND(H314=\"Yes\",ISBLANK(I314)),Lookup!$C$12,IF(AND(H314=\"Yes\",I314>=G314),Lookup!$C$7,IF(AND(H314=\"No\",I314>=G314),Lookup!$C$8,IF(AND(H314=\"Yes\",I314<G314),Lookup!$C$9,IF(AND(H314=\"No\",I314<G314),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L314),IF(ISBLANK(M314),\"\",IF(M314>=L314,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O314),IF(ISBLANK(P314),\"\",IF(P314>=O314,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99368,"Team Conf W/Out Pt By Healthcare Prof 30 Min W/Out Physician ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C315),IF(OR(AND(ISBLANK(D315),ISBLANK(E315)),AND(D315=\"No\",ISBLANK(E315))),\"\",IF(AND(ISBLANK(D315),ISNUMBER(E315)),Lookup!$C$11,IF(AND(D315=\"Yes\",ISBLANK(E315)),Lookup!$C$12,IF(AND(D315=\"Yes\",E315>=C315),Lookup!$C$7,IF(AND(D315=\"No\",E315>=C315),Lookup!$C$8,IF(AND(D315=\"Yes\",E315<C315),Lookup!$C$9,IF(AND(D315=\"No\",E315<C315),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G315),IF(OR(AND(ISBLANK(H315),ISBLANK(I315)),AND(H315=\"No\",ISBLANK(I315))),\"\",IF(AND(ISBLANK(H315),ISNUMBER(I315)),Lookup!$C$11,IF(AND(H315=\"Yes\",ISBLANK(I315)),Lookup!$C$12,IF(AND(H315=\"Yes\",I315>=G315),Lookup!$C$7,IF(AND(H315=\"No\",I315>=G315),Lookup!$C$8,IF(AND(H315=\"Yes\",I315<G315),Lookup!$C$9,IF(AND(H315=\"No\",I315<G315),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L315),IF(ISBLANK(M315),\"\",IF(M315>=L315,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O315),IF(ISBLANK(P315),\"\",IF(P315>=O315,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99374,"Home/Nursing Facility Visits 15-29 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C316),IF(OR(AND(ISBLANK(D316),ISBLANK(E316)),AND(D316=\"No\",ISBLANK(E316))),\"\",IF(AND(ISBLANK(D316),ISNUMBER(E316)),Lookup!$C$11,IF(AND(D316=\"Yes\",ISBLANK(E316)),Lookup!$C$12,IF(AND(D316=\"Yes\",E316>=C316),Lookup!$C$7,IF(AND(D316=\"No\",E316>=C316),Lookup!$C$8,IF(AND(D316=\"Yes\",E316<C316),Lookup!$C$9,IF(AND(D316=\"No\",E316<C316),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G316),IF(OR(AND(ISBLANK(H316),ISBLANK(I316)),AND(H316=\"No\",ISBLANK(I316))),\"\",IF(AND(ISBLANK(H316),ISNUMBER(I316)),Lookup!$C$11,IF(AND(H316=\"Yes\",ISBLANK(I316)),Lookup!$C$12,IF(AND(H316=\"Yes\",I316>=G316),Lookup!$C$7,IF(AND(H316=\"No\",I316>=G316),Lookup!$C$8,IF(AND(H316=\"Yes\",I316<G316),Lookup!$C$9,IF(AND(H316=\"No\",I316<G316),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L316),IF(ISBLANK(M316),\"\",IF(M316>=L316,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O316),IF(ISBLANK(P316),\"\",IF(P316>=O316,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99375,"Home/Nursing Facility Visits 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C317),IF(OR(AND(ISBLANK(D317),ISBLANK(E317)),AND(D317=\"No\",ISBLANK(E317))),\"\",IF(AND(ISBLANK(D317),ISNUMBER(E317)),Lookup!$C$11,IF(AND(D317=\"Yes\",ISBLANK(E317)),Lookup!$C$12,IF(AND(D317=\"Yes\",E317>=C317),Lookup!$C$7,IF(AND(D317=\"No\",E317>=C317),Lookup!$C$8,IF(AND(D317=\"Yes\",E317<C317),Lookup!$C$9,IF(AND(D317=\"No\",E317<C317),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G317),IF(OR(AND(ISBLANK(H317),ISBLANK(I317)),AND(H317=\"No\",ISBLANK(I317))),\"\",IF(AND(ISBLANK(H317),ISNUMBER(I317)),Lookup!$C$11,IF(AND(H317=\"Yes\",ISBLANK(I317)),Lookup!$C$12,IF(AND(H317=\"Yes\",I317>=G317),Lookup!$C$7,IF(AND(H317=\"No\",I317>=G317),Lookup!$C$8,IF(AND(H317=\"Yes\",I317<G317),Lookup!$C$9,IF(AND(H317=\"No\",I317<G317),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L317),IF(ISBLANK(M317),\"\",IF(M317>=L317,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O317),IF(ISBLANK(P317),\"\",IF(P317>=O317,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99381,"Init Pm E/M New Pat Infant","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C318),IF(OR(AND(ISBLANK(D318),ISBLANK(E318)),AND(D318=\"No\",ISBLANK(E318))),\"\",IF(AND(ISBLANK(D318),ISNUMBER(E318)),Lookup!$C$11,IF(AND(D318=\"Yes\",ISBLANK(E318)),Lookup!$C$12,IF(AND(D318=\"Yes\",E318>=C318),Lookup!$C$7,IF(AND(D318=\"No\",E318>=C318),Lookup!$C$8,IF(AND(D318=\"Yes\",E318<C318),Lookup!$C$9,IF(AND(D318=\"No\",E318<C318),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G318),IF(OR(AND(ISBLANK(H318),ISBLANK(I318)),AND(H318=\"No\",ISBLANK(I318))),\"\",IF(AND(ISBLANK(H318),ISNUMBER(I318)),Lookup!$C$11,IF(AND(H318=\"Yes\",ISBLANK(I318)),Lookup!$C$12,IF(AND(H318=\"Yes\",I318>=G318),Lookup!$C$7,IF(AND(H318=\"No\",I318>=G318),Lookup!$C$8,IF(AND(H318=\"Yes\",I318<G318),Lookup!$C$9,IF(AND(H318=\"No\",I318<G318),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L318),IF(ISBLANK(M318),\"\",IF(M318>=L318,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O318),IF(ISBLANK(P318),\"\",IF(P318>=O318,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99382,"Init Pm E/M New Pat 1-4 Yrs","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C319),IF(OR(AND(ISBLANK(D319),ISBLANK(E319)),AND(D319=\"No\",ISBLANK(E319))),\"\",IF(AND(ISBLANK(D319),ISNUMBER(E319)),Lookup!$C$11,IF(AND(D319=\"Yes\",ISBLANK(E319)),Lookup!$C$12,IF(AND(D319=\"Yes\",E319>=C319),Lookup!$C$7,IF(AND(D319=\"No\",E319>=C319),Lookup!$C$8,IF(AND(D319=\"Yes\",E319<C319),Lookup!$C$9,IF(AND(D319=\"No\",E319<C319),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G319),IF(OR(AND(ISBLANK(H319),ISBLANK(I319)),AND(H319=\"No\",ISBLANK(I319))),\"\",IF(AND(ISBLANK(H319),ISNUMBER(I319)),Lookup!$C$11,IF(AND(H319=\"Yes\",ISBLANK(I319)),Lookup!$C$12,IF(AND(H319=\"Yes\",I319>=G319),Lookup!$C$7,IF(AND(H319=\"No\",I319>=G319),Lookup!$C$8,IF(AND(H319=\"Yes\",I319<G319),Lookup!$C$9,IF(AND(H319=\"No\",I319<G319),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L319),IF(ISBLANK(M319),\"\",IF(M319>=L319,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O319),IF(ISBLANK(P319),\"\",IF(P319>=O319,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99383,"Prev Visit New Age 5-11","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C320),IF(OR(AND(ISBLANK(D320),ISBLANK(E320)),AND(D320=\"No\",ISBLANK(E320))),\"\",IF(AND(ISBLANK(D320),ISNUMBER(E320)),Lookup!$C$11,IF(AND(D320=\"Yes\",ISBLANK(E320)),Lookup!$C$12,IF(AND(D320=\"Yes\",E320>=C320),Lookup!$C$7,IF(AND(D320=\"No\",E320>=C320),Lookup!$C$8,IF(AND(D320=\"Yes\",E320<C320),Lookup!$C$9,IF(AND(D320=\"No\",E320<C320),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G320),IF(OR(AND(ISBLANK(H320),ISBLANK(I320)),AND(H320=\"No\",ISBLANK(I320))),\"\",IF(AND(ISBLANK(H320),ISNUMBER(I320)),Lookup!$C$11,IF(AND(H320=\"Yes\",ISBLANK(I320)),Lookup!$C$12,IF(AND(H320=\"Yes\",I320>=G320),Lookup!$C$7,IF(AND(H320=\"No\",I320>=G320),Lookup!$C$8,IF(AND(H320=\"Yes\",I320<G320),Lookup!$C$9,IF(AND(H320=\"No\",I320<G320),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L320),IF(ISBLANK(M320),\"\",IF(M320>=L320,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O320),IF(ISBLANK(P320),\"\",IF(P320>=O320,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99384,"Prev Visit New Age 12-17","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C321),IF(OR(AND(ISBLANK(D321),ISBLANK(E321)),AND(D321=\"No\",ISBLANK(E321))),\"\",IF(AND(ISBLANK(D321),ISNUMBER(E321)),Lookup!$C$11,IF(AND(D321=\"Yes\",ISBLANK(E321)),Lookup!$C$12,IF(AND(D321=\"Yes\",E321>=C321),Lookup!$C$7,IF(AND(D321=\"No\",E321>=C321),Lookup!$C$8,IF(AND(D321=\"Yes\",E321<C321),Lookup!$C$9,IF(AND(D321=\"No\",E321<C321),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G321),IF(OR(AND(ISBLANK(H321),ISBLANK(I321)),AND(H321=\"No\",ISBLANK(I321))),\"\",IF(AND(ISBLANK(H321),ISNUMBER(I321)),Lookup!$C$11,IF(AND(H321=\"Yes\",ISBLANK(I321)),Lookup!$C$12,IF(AND(H321=\"Yes\",I321>=G321),Lookup!$C$7,IF(AND(H321=\"No\",I321>=G321),Lookup!$C$8,IF(AND(H321=\"Yes\",I321<G321),Lookup!$C$9,IF(AND(H321=\"No\",I321<G321),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L321),IF(ISBLANK(M321),\"\",IF(M321>=L321,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O321),IF(ISBLANK(P321),\"\",IF(P321>=O321,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99385,"Prev Visit New Age 18-39","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C322),IF(OR(AND(ISBLANK(D322),ISBLANK(E322)),AND(D322=\"No\",ISBLANK(E322))),\"\",IF(AND(ISBLANK(D322),ISNUMBER(E322)),Lookup!$C$11,IF(AND(D322=\"Yes\",ISBLANK(E322)),Lookup!$C$12,IF(AND(D322=\"Yes\",E322>=C322),Lookup!$C$7,IF(AND(D322=\"No\",E322>=C322),Lookup!$C$8,IF(AND(D322=\"Yes\",E322<C322),Lookup!$C$9,IF(AND(D322=\"No\",E322<C322),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G322),IF(OR(AND(ISBLANK(H322),ISBLANK(I322)),AND(H322=\"No\",ISBLANK(I322))),\"\",IF(AND(ISBLANK(H322),ISNUMBER(I322)),Lookup!$C$11,IF(AND(H322=\"Yes\",ISBLANK(I322)),Lookup!$C$12,IF(AND(H322=\"Yes\",I322>=G322),Lookup!$C$7,IF(AND(H322=\"No\",I322>=G322),Lookup!$C$8,IF(AND(H322=\"Yes\",I322<G322),Lookup!$C$9,IF(AND(H322=\"No\",I322<G322),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L322),IF(ISBLANK(M322),\"\",IF(M322>=L322,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O322),IF(ISBLANK(P322),\"\",IF(P322>=O322,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99386,"Prev Visit New Age 40-64","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C323),IF(OR(AND(ISBLANK(D323),ISBLANK(E323)),AND(D323=\"No\",ISBLANK(E323))),\"\",IF(AND(ISBLANK(D323),ISNUMBER(E323)),Lookup!$C$11,IF(AND(D323=\"Yes\",ISBLANK(E323)),Lookup!$C$12,IF(AND(D323=\"Yes\",E323>=C323),Lookup!$C$7,IF(AND(D323=\"No\",E323>=C323),Lookup!$C$8,IF(AND(D323=\"Yes\",E323<C323),Lookup!$C$9,IF(AND(D323=\"No\",E323<C323),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G323),IF(OR(AND(ISBLANK(H323),ISBLANK(I323)),AND(H323=\"No\",ISBLANK(I323))),\"\",IF(AND(ISBLANK(H323),ISNUMBER(I323)),Lookup!$C$11,IF(AND(H323=\"Yes\",ISBLANK(I323)),Lookup!$C$12,IF(AND(H323=\"Yes\",I323>=G323),Lookup!$C$7,IF(AND(H323=\"No\",I323>=G323),Lookup!$C$8,IF(AND(H323=\"Yes\",I323<G323),Lookup!$C$9,IF(AND(H323=\"No\",I323<G323),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L323),IF(ISBLANK(M323),\"\",IF(M323>=L323,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O323),IF(ISBLANK(P323),\"\",IF(P323>=O323,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99387,"Prev Visit - New Pt 65+ Yrs","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C324),IF(OR(AND(ISBLANK(D324),ISBLANK(E324)),AND(D324=\"No\",ISBLANK(E324))),\"\",IF(AND(ISBLANK(D324),ISNUMBER(E324)),Lookup!$C$11,IF(AND(D324=\"Yes\",ISBLANK(E324)),Lookup!$C$12,IF(AND(D324=\"Yes\",E324>=C324),Lookup!$C$7,IF(AND(D324=\"No\",E324>=C324),Lookup!$C$8,IF(AND(D324=\"Yes\",E324<C324),Lookup!$C$9,IF(AND(D324=\"No\",E324<C324),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G324),IF(OR(AND(ISBLANK(H324),ISBLANK(I324)),AND(H324=\"No\",ISBLANK(I324))),\"\",IF(AND(ISBLANK(H324),ISNUMBER(I324)),Lookup!$C$11,IF(AND(H324=\"Yes\",ISBLANK(I324)),Lookup!$C$12,IF(AND(H324=\"Yes\",I324>=G324),Lookup!$C$7,IF(AND(H324=\"No\",I324>=G324),Lookup!$C$8,IF(AND(H324=\"Yes\",I324<G324),Lookup!$C$9,IF(AND(H324=\"No\",I324<G324),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L324),IF(ISBLANK(M324),\"\",IF(M324>=L324,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O324),IF(ISBLANK(P324),\"\",IF(P324>=O324,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99391,"Periodic Pm Reeval Est Pat Infant 1>","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C325),IF(OR(AND(ISBLANK(D325),ISBLANK(E325)),AND(D325=\"No\",ISBLANK(E325))),\"\",IF(AND(ISBLANK(D325),ISNUMBER(E325)),Lookup!$C$11,IF(AND(D325=\"Yes\",ISBLANK(E325)),Lookup!$C$12,IF(AND(D325=\"Yes\",E325>=C325),Lookup!$C$7,IF(AND(D325=\"No\",E325>=C325),Lookup!$C$8,IF(AND(D325=\"Yes\",E325<C325),Lookup!$C$9,IF(AND(D325=\"No\",E325<C325),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G325),IF(OR(AND(ISBLANK(H325),ISBLANK(I325)),AND(H325=\"No\",ISBLANK(I325))),\"\",IF(AND(ISBLANK(H325),ISNUMBER(I325)),Lookup!$C$11,IF(AND(H325=\"Yes\",ISBLANK(I325)),Lookup!$C$12,IF(AND(H325=\"Yes\",I325>=G325),Lookup!$C$7,IF(AND(H325=\"No\",I325>=G325),Lookup!$C$8,IF(AND(H325=\"Yes\",I325<G325),Lookup!$C$9,IF(AND(H325=\"No\",I325<G325),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L325),IF(ISBLANK(M325),\"\",IF(M325>=L325,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O325),IF(ISBLANK(P325),\"\",IF(P325>=O325,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99392,"Prev Visit Est Age 1-4","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C326),IF(OR(AND(ISBLANK(D326),ISBLANK(E326)),AND(D326=\"No\",ISBLANK(E326))),\"\",IF(AND(ISBLANK(D326),ISNUMBER(E326)),Lookup!$C$11,IF(AND(D326=\"Yes\",ISBLANK(E326)),Lookup!$C$12,IF(AND(D326=\"Yes\",E326>=C326),Lookup!$C$7,IF(AND(D326=\"No\",E326>=C326),Lookup!$C$8,IF(AND(D326=\"Yes\",E326<C326),Lookup!$C$9,IF(AND(D326=\"No\",E326<C326),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G326),IF(OR(AND(ISBLANK(H326),ISBLANK(I326)),AND(H326=\"No\",ISBLANK(I326))),\"\",IF(AND(ISBLANK(H326),ISNUMBER(I326)),Lookup!$C$11,IF(AND(H326=\"Yes\",ISBLANK(I326)),Lookup!$C$12,IF(AND(H326=\"Yes\",I326>=G326),Lookup!$C$7,IF(AND(H326=\"No\",I326>=G326),Lookup!$C$8,IF(AND(H326=\"Yes\",I326<G326),Lookup!$C$9,IF(AND(H326=\"No\",I326<G326),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L326),IF(ISBLANK(M326),\"\",IF(M326>=L326,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O326),IF(ISBLANK(P326),\"\",IF(P326>=O326,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99393,"Prev Visit Est Age 5-11","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C327),IF(OR(AND(ISBLANK(D327),ISBLANK(E327)),AND(D327=\"No\",ISBLANK(E327))),\"\",IF(AND(ISBLANK(D327),ISNUMBER(E327)),Lookup!$C$11,IF(AND(D327=\"Yes\",ISBLANK(E327)),Lookup!$C$12,IF(AND(D327=\"Yes\",E327>=C327),Lookup!$C$7,IF(AND(D327=\"No\",E327>=C327),Lookup!$C$8,IF(AND(D327=\"Yes\",E327<C327),Lookup!$C$9,IF(AND(D327=\"No\",E327<C327),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G327),IF(OR(AND(ISBLANK(H327),ISBLANK(I327)),AND(H327=\"No\",ISBLANK(I327))),\"\",IF(AND(ISBLANK(H327),ISNUMBER(I327)),Lookup!$C$11,IF(AND(H327=\"Yes\",ISBLANK(I327)),Lookup!$C$12,IF(AND(H327=\"Yes\",I327>=G327),Lookup!$C$7,IF(AND(H327=\"No\",I327>=G327),Lookup!$C$8,IF(AND(H327=\"Yes\",I327<G327),Lookup!$C$9,IF(AND(H327=\"No\",I327<G327),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L327),IF(ISBLANK(M327),\"\",IF(M327>=L327,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O327),IF(ISBLANK(P327),\"\",IF(P327>=O327,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99394,"Prev Visit Est Age 12-17","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C328),IF(OR(AND(ISBLANK(D328),ISBLANK(E328)),AND(D328=\"No\",ISBLANK(E328))),\"\",IF(AND(ISBLANK(D328),ISNUMBER(E328)),Lookup!$C$11,IF(AND(D328=\"Yes\",ISBLANK(E328)),Lookup!$C$12,IF(AND(D328=\"Yes\",E328>=C328),Lookup!$C$7,IF(AND(D328=\"No\",E328>=C328),Lookup!$C$8,IF(AND(D328=\"Yes\",E328<C328),Lookup!$C$9,IF(AND(D328=\"No\",E328<C328),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G328),IF(OR(AND(ISBLANK(H328),ISBLANK(I328)),AND(H328=\"No\",ISBLANK(I328))),\"\",IF(AND(ISBLANK(H328),ISNUMBER(I328)),Lookup!$C$11,IF(AND(H328=\"Yes\",ISBLANK(I328)),Lookup!$C$12,IF(AND(H328=\"Yes\",I328>=G328),Lookup!$C$7,IF(AND(H328=\"No\",I328>=G328),Lookup!$C$8,IF(AND(H328=\"Yes\",I328<G328),Lookup!$C$9,IF(AND(H328=\"No\",I328<G328),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L328),IF(ISBLANK(M328),\"\",IF(M328>=L328,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O328),IF(ISBLANK(P328),\"\",IF(P328>=O328,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99395,"Prev Visit Est Age 18-39","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C329),IF(OR(AND(ISBLANK(D329),ISBLANK(E329)),AND(D329=\"No\",ISBLANK(E329))),\"\",IF(AND(ISBLANK(D329),ISNUMBER(E329)),Lookup!$C$11,IF(AND(D329=\"Yes\",ISBLANK(E329)),Lookup!$C$12,IF(AND(D329=\"Yes\",E329>=C329),Lookup!$C$7,IF(AND(D329=\"No\",E329>=C329),Lookup!$C$8,IF(AND(D329=\"Yes\",E329<C329),Lookup!$C$9,IF(AND(D329=\"No\",E329<C329),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G329),IF(OR(AND(ISBLANK(H329),ISBLANK(I329)),AND(H329=\"No\",ISBLANK(I329))),\"\",IF(AND(ISBLANK(H329),ISNUMBER(I329)),Lookup!$C$11,IF(AND(H329=\"Yes\",ISBLANK(I329)),Lookup!$C$12,IF(AND(H329=\"Yes\",I329>=G329),Lookup!$C$7,IF(AND(H329=\"No\",I329>=G329),Lookup!$C$8,IF(AND(H329=\"Yes\",I329<G329),Lookup!$C$9,IF(AND(H329=\"No\",I329<G329),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L329),IF(ISBLANK(M329),\"\",IF(M329>=L329,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O329),IF(ISBLANK(P329),\"\",IF(P329>=O329,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99396,"Prev Visit Est Age 40-64","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C330),IF(OR(AND(ISBLANK(D330),ISBLANK(E330)),AND(D330=\"No\",ISBLANK(E330))),\"\",IF(AND(ISBLANK(D330),ISNUMBER(E330)),Lookup!$C$11,IF(AND(D330=\"Yes\",ISBLANK(E330)),Lookup!$C$12,IF(AND(D330=\"Yes\",E330>=C330),Lookup!$C$7,IF(AND(D330=\"No\",E330>=C330),Lookup!$C$8,IF(AND(D330=\"Yes\",E330<C330),Lookup!$C$9,IF(AND(D330=\"No\",E330<C330),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G330),IF(OR(AND(ISBLANK(H330),ISBLANK(I330)),AND(H330=\"No\",ISBLANK(I330))),\"\",IF(AND(ISBLANK(H330),ISNUMBER(I330)),Lookup!$C$11,IF(AND(H330=\"Yes\",ISBLANK(I330)),Lookup!$C$12,IF(AND(H330=\"Yes\",I330>=G330),Lookup!$C$7,IF(AND(H330=\"No\",I330>=G330),Lookup!$C$8,IF(AND(H330=\"Yes\",I330<G330),Lookup!$C$9,IF(AND(H330=\"No\",I330<G330),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L330),IF(ISBLANK(M330),\"\",IF(M330>=L330,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O330),IF(ISBLANK(P330),\"\",IF(P330>=O330,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99397,"Per Pm Reeval Est Pat 65+ Yr","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C331),IF(OR(AND(ISBLANK(D331),ISBLANK(E331)),AND(D331=\"No\",ISBLANK(E331))),\"\",IF(AND(ISBLANK(D331),ISNUMBER(E331)),Lookup!$C$11,IF(AND(D331=\"Yes\",ISBLANK(E331)),Lookup!$C$12,IF(AND(D331=\"Yes\",E331>=C331),Lookup!$C$7,IF(AND(D331=\"No\",E331>=C331),Lookup!$C$8,IF(AND(D331=\"Yes\",E331<C331),Lookup!$C$9,IF(AND(D331=\"No\",E331<C331),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G331),IF(OR(AND(ISBLANK(H331),ISBLANK(I331)),AND(H331=\"No\",ISBLANK(I331))),\"\",IF(AND(ISBLANK(H331),ISNUMBER(I331)),Lookup!$C$11,IF(AND(H331=\"Yes\",ISBLANK(I331)),Lookup!$C$12,IF(AND(H331=\"Yes\",I331>=G331),Lookup!$C$7,IF(AND(H331=\"No\",I331>=G331),Lookup!$C$8,IF(AND(H331=\"Yes\",I331<G331),Lookup!$C$9,IF(AND(H331=\"No\",I331<G331),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L331),IF(ISBLANK(M331),\"\",IF(M331>=L331,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O331),IF(ISBLANK(P331),\"\",IF(P331>=O331,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99401,"Preventive Counseling Indiv 15 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C332),IF(OR(AND(ISBLANK(D332),ISBLANK(E332)),AND(D332=\"No\",ISBLANK(E332))),\"\",IF(AND(ISBLANK(D332),ISNUMBER(E332)),Lookup!$C$11,IF(AND(D332=\"Yes\",ISBLANK(E332)),Lookup!$C$12,IF(AND(D332=\"Yes\",E332>=C332),Lookup!$C$7,IF(AND(D332=\"No\",E332>=C332),Lookup!$C$8,IF(AND(D332=\"Yes\",E332<C332),Lookup!$C$9,IF(AND(D332=\"No\",E332<C332),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G332),IF(OR(AND(ISBLANK(H332),ISBLANK(I332)),AND(H332=\"No\",ISBLANK(I332))),\"\",IF(AND(ISBLANK(H332),ISNUMBER(I332)),Lookup!$C$11,IF(AND(H332=\"Yes\",ISBLANK(I332)),Lookup!$C$12,IF(AND(H332=\"Yes\",I332>=G332),Lookup!$C$7,IF(AND(H332=\"No\",I332>=G332),Lookup!$C$8,IF(AND(H332=\"Yes\",I332<G332),Lookup!$C$9,IF(AND(H332=\"No\",I332<G332),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L332),IF(ISBLANK(M332),\"\",IF(M332>=L332,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O332),IF(ISBLANK(P332),\"\",IF(P332>=O332,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99402,"Preventive Counseling Indiv 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C333),IF(OR(AND(ISBLANK(D333),ISBLANK(E333)),AND(D333=\"No\",ISBLANK(E333))),\"\",IF(AND(ISBLANK(D333),ISNUMBER(E333)),Lookup!$C$11,IF(AND(D333=\"Yes\",ISBLANK(E333)),Lookup!$C$12,IF(AND(D333=\"Yes\",E333>=C333),Lookup!$C$7,IF(AND(D333=\"No\",E333>=C333),Lookup!$C$8,IF(AND(D333=\"Yes\",E333<C333),Lookup!$C$9,IF(AND(D333=\"No\",E333<C333),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G333),IF(OR(AND(ISBLANK(H333),ISBLANK(I333)),AND(H333=\"No\",ISBLANK(I333))),\"\",IF(AND(ISBLANK(H333),ISNUMBER(I333)),Lookup!$C$11,IF(AND(H333=\"Yes\",ISBLANK(I333)),Lookup!$C$12,IF(AND(H333=\"Yes\",I333>=G333),Lookup!$C$7,IF(AND(H333=\"No\",I333>=G333),Lookup!$C$8,IF(AND(H333=\"Yes\",I333<G333),Lookup!$C$9,IF(AND(H333=\"No\",I333<G333),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L333),IF(ISBLANK(M333),\"\",IF(M333>=L333,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O333),IF(ISBLANK(P333),\"\",IF(P333>=O333,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99403,"Preventive Counseling Indiv 45 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C334),IF(OR(AND(ISBLANK(D334),ISBLANK(E334)),AND(D334=\"No\",ISBLANK(E334))),\"\",IF(AND(ISBLANK(D334),ISNUMBER(E334)),Lookup!$C$11,IF(AND(D334=\"Yes\",ISBLANK(E334)),Lookup!$C$12,IF(AND(D334=\"Yes\",E334>=C334),Lookup!$C$7,IF(AND(D334=\"No\",E334>=C334),Lookup!$C$8,IF(AND(D334=\"Yes\",E334<C334),Lookup!$C$9,IF(AND(D334=\"No\",E334<C334),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G334),IF(OR(AND(ISBLANK(H334),ISBLANK(I334)),AND(H334=\"No\",ISBLANK(I334))),\"\",IF(AND(ISBLANK(H334),ISNUMBER(I334)),Lookup!$C$11,IF(AND(H334=\"Yes\",ISBLANK(I334)),Lookup!$C$12,IF(AND(H334=\"Yes\",I334>=G334),Lookup!$C$7,IF(AND(H334=\"No\",I334>=G334),Lookup!$C$8,IF(AND(H334=\"Yes\",I334<G334),Lookup!$C$9,IF(AND(H334=\"No\",I334<G334),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L334),IF(ISBLANK(M334),\"\",IF(M334>=L334,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O334),IF(ISBLANK(P334),\"\",IF(P334>=O334,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99404,"Preventive Counseling Indiv 60 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C335),IF(OR(AND(ISBLANK(D335),ISBLANK(E335)),AND(D335=\"No\",ISBLANK(E335))),\"\",IF(AND(ISBLANK(D335),ISNUMBER(E335)),Lookup!$C$11,IF(AND(D335=\"Yes\",ISBLANK(E335)),Lookup!$C$12,IF(AND(D335=\"Yes\",E335>=C335),Lookup!$C$7,IF(AND(D335=\"No\",E335>=C335),Lookup!$C$8,IF(AND(D335=\"Yes\",E335<C335),Lookup!$C$9,IF(AND(D335=\"No\",E335<C335),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G335),IF(OR(AND(ISBLANK(H335),ISBLANK(I335)),AND(H335=\"No\",ISBLANK(I335))),\"\",IF(AND(ISBLANK(H335),ISNUMBER(I335)),Lookup!$C$11,IF(AND(H335=\"Yes\",ISBLANK(I335)),Lookup!$C$12,IF(AND(H335=\"Yes\",I335>=G335),Lookup!$C$7,IF(AND(H335=\"No\",I335>=G335),Lookup!$C$8,IF(AND(H335=\"Yes\",I335<G335),Lookup!$C$9,IF(AND(H335=\"No\",I335<G335),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L335),IF(ISBLANK(M335),\"\",IF(M335>=L335,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O335),IF(ISBLANK(P335),\"\",IF(P335>=O335,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99406,"Behav Chng Smoking 3-10 Min",14.64,null,null,{"$f":"IF(ISNUMBER(C336),IF(OR(AND(ISBLANK(D336),ISBLANK(E336)),AND(D336=\"No\",ISBLANK(E336))),\"\",IF(AND(ISBLANK(D336),ISNUMBER(E336)),Lookup!$C$11,IF(AND(D336=\"Yes\",ISBLANK(E336)),Lookup!$C$12,IF(AND(D336=\"Yes\",E336>=C336),Lookup!$C$7,IF(AND(D336=\"No\",E336>=C336),Lookup!$C$8,IF(AND(D336=\"Yes\",E336<C336),Lookup!$C$9,IF(AND(D336=\"No\",E336<C336),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.64,null,null,{"$f":"IF(ISNUMBER(G336),IF(OR(AND(ISBLANK(H336),ISBLANK(I336)),AND(H336=\"No\",ISBLANK(I336))),\"\",IF(AND(ISBLANK(H336),ISNUMBER(I336)),Lookup!$C$11,IF(AND(H336=\"Yes\",ISBLANK(I336)),Lookup!$C$12,IF(AND(H336=\"Yes\",I336>=G336),Lookup!$C$7,IF(AND(H336=\"No\",I336>=G336),Lookup!$C$8,IF(AND(H336=\"Yes\",I336<G336),Lookup!$C$9,IF(AND(H336=\"No\",I336<G336),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,13.9,null,{"$f":"IF(ISNUMBER(L336),IF(ISBLANK(M336),\"\",IF(M336>=L336,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.9,null,{"$f":"IF(ISNUMBER(O336),IF(ISBLANK(P336),\"\",IF(P336>=O336,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99407,"Behav Chng Smoking > 10 Min",27.3,null,null,{"$f":"IF(ISNUMBER(C337),IF(OR(AND(ISBLANK(D337),ISBLANK(E337)),AND(D337=\"No\",ISBLANK(E337))),\"\",IF(AND(ISBLANK(D337),ISNUMBER(E337)),Lookup!$C$11,IF(AND(D337=\"Yes\",ISBLANK(E337)),Lookup!$C$12,IF(AND(D337=\"Yes\",E337>=C337),Lookup!$C$7,IF(AND(D337=\"No\",E337>=C337),Lookup!$C$8,IF(AND(D337=\"Yes\",E337<C337),Lookup!$C$9,IF(AND(D337=\"No\",E337<C337),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},27.3,null,null,{"$f":"IF(ISNUMBER(G337),IF(OR(AND(ISBLANK(H337),ISBLANK(I337)),AND(H337=\"No\",ISBLANK(I337))),\"\",IF(AND(ISBLANK(H337),ISNUMBER(I337)),Lookup!$C$11,IF(AND(H337=\"Yes\",ISBLANK(I337)),Lookup!$C$12,IF(AND(H337=\"Yes\",I337>=G337),Lookup!$C$7,IF(AND(H337=\"No\",I337>=G337),Lookup!$C$8,IF(AND(H337=\"Yes\",I337<G337),Lookup!$C$9,IF(AND(H337=\"No\",I337<G337),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,26.53,null,{"$f":"IF(ISNUMBER(L337),IF(ISBLANK(M337),\"\",IF(M337>=L337,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},26.53,null,{"$f":"IF(ISNUMBER(O337),IF(ISBLANK(P337),\"\",IF(P337>=O337,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99408,"Audit/Dast 15-30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C338),IF(OR(AND(ISBLANK(D338),ISBLANK(E338)),AND(D338=\"No\",ISBLANK(E338))),\"\",IF(AND(ISBLANK(D338),ISNUMBER(E338)),Lookup!$C$11,IF(AND(D338=\"Yes\",ISBLANK(E338)),Lookup!$C$12,IF(AND(D338=\"Yes\",E338>=C338),Lookup!$C$7,IF(AND(D338=\"No\",E338>=C338),Lookup!$C$8,IF(AND(D338=\"Yes\",E338<C338),Lookup!$C$9,IF(AND(D338=\"No\",E338<C338),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G338),IF(OR(AND(ISBLANK(H338),ISBLANK(I338)),AND(H338=\"No\",ISBLANK(I338))),\"\",IF(AND(ISBLANK(H338),ISNUMBER(I338)),Lookup!$C$11,IF(AND(H338=\"Yes\",ISBLANK(I338)),Lookup!$C$12,IF(AND(H338=\"Yes\",I338>=G338),Lookup!$C$7,IF(AND(H338=\"No\",I338>=G338),Lookup!$C$8,IF(AND(H338=\"Yes\",I338<G338),Lookup!$C$9,IF(AND(H338=\"No\",I338<G338),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L338),IF(ISBLANK(M338),\"\",IF(M338>=L338,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O338),IF(ISBLANK(P338),\"\",IF(P338>=O338,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99409,"Alcohol/Substance Screen & Intervention >30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C339),IF(OR(AND(ISBLANK(D339),ISBLANK(E339)),AND(D339=\"No\",ISBLANK(E339))),\"\",IF(AND(ISBLANK(D339),ISNUMBER(E339)),Lookup!$C$11,IF(AND(D339=\"Yes\",ISBLANK(E339)),Lookup!$C$12,IF(AND(D339=\"Yes\",E339>=C339),Lookup!$C$7,IF(AND(D339=\"No\",E339>=C339),Lookup!$C$8,IF(AND(D339=\"Yes\",E339<C339),Lookup!$C$9,IF(AND(D339=\"No\",E339<C339),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G339),IF(OR(AND(ISBLANK(H339),ISBLANK(I339)),AND(H339=\"No\",ISBLANK(I339))),\"\",IF(AND(ISBLANK(H339),ISNUMBER(I339)),Lookup!$C$11,IF(AND(H339=\"Yes\",ISBLANK(I339)),Lookup!$C$12,IF(AND(H339=\"Yes\",I339>=G339),Lookup!$C$7,IF(AND(H339=\"No\",I339>=G339),Lookup!$C$8,IF(AND(H339=\"Yes\",I339<G339),Lookup!$C$9,IF(AND(H339=\"No\",I339<G339),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L339),IF(ISBLANK(M339),\"\",IF(M339>=L339,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O339),IF(ISBLANK(P339),\"\",IF(P339>=O339,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99411,"Preventive Counseling Group 30 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C340),IF(OR(AND(ISBLANK(D340),ISBLANK(E340)),AND(D340=\"No\",ISBLANK(E340))),\"\",IF(AND(ISBLANK(D340),ISNUMBER(E340)),Lookup!$C$11,IF(AND(D340=\"Yes\",ISBLANK(E340)),Lookup!$C$12,IF(AND(D340=\"Yes\",E340>=C340),Lookup!$C$7,IF(AND(D340=\"No\",E340>=C340),Lookup!$C$8,IF(AND(D340=\"Yes\",E340<C340),Lookup!$C$9,IF(AND(D340=\"No\",E340<C340),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G340),IF(OR(AND(ISBLANK(H340),ISBLANK(I340)),AND(H340=\"No\",ISBLANK(I340))),\"\",IF(AND(ISBLANK(H340),ISNUMBER(I340)),Lookup!$C$11,IF(AND(H340=\"Yes\",ISBLANK(I340)),Lookup!$C$12,IF(AND(H340=\"Yes\",I340>=G340),Lookup!$C$7,IF(AND(H340=\"No\",I340>=G340),Lookup!$C$8,IF(AND(H340=\"Yes\",I340<G340),Lookup!$C$9,IF(AND(H340=\"No\",I340<G340),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L340),IF(ISBLANK(M340),\"\",IF(M340>=L340,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O340),IF(ISBLANK(P340),\"\",IF(P340>=O340,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99412,"Preventive Counseling Group 60 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C341),IF(OR(AND(ISBLANK(D341),ISBLANK(E341)),AND(D341=\"No\",ISBLANK(E341))),\"\",IF(AND(ISBLANK(D341),ISNUMBER(E341)),Lookup!$C$11,IF(AND(D341=\"Yes\",ISBLANK(E341)),Lookup!$C$12,IF(AND(D341=\"Yes\",E341>=C341),Lookup!$C$7,IF(AND(D341=\"No\",E341>=C341),Lookup!$C$8,IF(AND(D341=\"Yes\",E341<C341),Lookup!$C$9,IF(AND(D341=\"No\",E341<C341),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G341),IF(OR(AND(ISBLANK(H341),ISBLANK(I341)),AND(H341=\"No\",ISBLANK(I341))),\"\",IF(AND(ISBLANK(H341),ISNUMBER(I341)),Lookup!$C$11,IF(AND(H341=\"Yes\",ISBLANK(I341)),Lookup!$C$12,IF(AND(H341=\"Yes\",I341>=G341),Lookup!$C$7,IF(AND(H341=\"No\",I341>=G341),Lookup!$C$8,IF(AND(H341=\"Yes\",I341<G341),Lookup!$C$9,IF(AND(H341=\"No\",I341<G341),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L341),IF(ISBLANK(M341),\"\",IF(M341>=L341,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O341),IF(ISBLANK(P341),\"\",IF(P341>=O341,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99417,"Prolng op e/m each 15 min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C343),IF(OR(AND(ISBLANK(D342),ISBLANK(E342)),AND(D342=\"No\",ISBLANK(E342))),\"\",IF(AND(ISBLANK(D342),ISNUMBER(E342)),Lookup!$C$11,IF(AND(D342=\"Yes\",ISBLANK(E342)),Lookup!$C$12,IF(AND(D342=\"Yes\",E342>=C343),Lookup!$C$7,IF(AND(D342=\"No\",E342>=C343),Lookup!$C$8,IF(AND(D342=\"Yes\",E342<C343),Lookup!$C$9,IF(AND(D342=\"No\",E342<C343),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G342),IF(OR(AND(ISBLANK(H342),ISBLANK(I342)),AND(H342=\"No\",ISBLANK(I342))),\"\",IF(AND(ISBLANK(H342),ISNUMBER(I342)),Lookup!$C$11,IF(AND(H342=\"Yes\",ISBLANK(I342)),Lookup!$C$12,IF(AND(H342=\"Yes\",I342>=G342),Lookup!$C$7,IF(AND(H342=\"No\",I342>=G342),Lookup!$C$8,IF(AND(H342=\"Yes\",I342<G342),Lookup!$C$9,IF(AND(H342=\"No\",I342<G342),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L342),IF(ISBLANK(M342),\"\",IF(M342>=L342,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O342),IF(ISBLANK(P342),\"\",IF(P342>=O342,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99421,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 5-10 Min",14.97,null,null,{"$f":"IF(ISNUMBER(C343),IF(OR(AND(ISBLANK(D343),ISBLANK(E343)),AND(D343=\"No\",ISBLANK(E343))),\"\",IF(AND(ISBLANK(D343),ISNUMBER(E343)),Lookup!$C$11,IF(AND(D343=\"Yes\",ISBLANK(E343)),Lookup!$C$12,IF(AND(D343=\"Yes\",E343>=C343),Lookup!$C$7,IF(AND(D343=\"No\",E343>=C343),Lookup!$C$8,IF(AND(D343=\"Yes\",E343<C343),Lookup!$C$9,IF(AND(D343=\"No\",E343<C343),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.97,null,null,{"$f":"IF(ISNUMBER(G343),IF(OR(AND(ISBLANK(H343),ISBLANK(I343)),AND(H343=\"No\",ISBLANK(I343))),\"\",IF(AND(ISBLANK(H343),ISNUMBER(I343)),Lookup!$C$11,IF(AND(H343=\"Yes\",ISBLANK(I343)),Lookup!$C$12,IF(AND(H343=\"Yes\",I343>=G343),Lookup!$C$7,IF(AND(H343=\"No\",I343>=G343),Lookup!$C$8,IF(AND(H343=\"Yes\",I343<G343),Lookup!$C$9,IF(AND(H343=\"No\",I343<G343),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,14.55,null,{"$f":"IF(ISNUMBER(L343),IF(ISBLANK(M343),\"\",IF(M343>=L343,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},14.55,null,{"$f":"IF(ISNUMBER(O343),IF(ISBLANK(P343),\"\",IF(P343>=O343,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99422,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 11-20 Min",29.28,null,null,{"$f":"IF(ISNUMBER(C344),IF(OR(AND(ISBLANK(D344),ISBLANK(E344)),AND(D344=\"No\",ISBLANK(E344))),\"\",IF(AND(ISBLANK(D344),ISNUMBER(E344)),Lookup!$C$11,IF(AND(D344=\"Yes\",ISBLANK(E344)),Lookup!$C$12,IF(AND(D344=\"Yes\",E344>=C344),Lookup!$C$7,IF(AND(D344=\"No\",E344>=C344),Lookup!$C$8,IF(AND(D344=\"Yes\",E344<C344),Lookup!$C$9,IF(AND(D344=\"No\",E344<C344),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},29.28,null,null,{"$f":"IF(ISNUMBER(G344),IF(OR(AND(ISBLANK(H344),ISBLANK(I344)),AND(H344=\"No\",ISBLANK(I344))),\"\",IF(AND(ISBLANK(H344),ISNUMBER(I344)),Lookup!$C$11,IF(AND(H344=\"Yes\",ISBLANK(I344)),Lookup!$C$12,IF(AND(H344=\"Yes\",I344>=G344),Lookup!$C$7,IF(AND(H344=\"No\",I344>=G344),Lookup!$C$8,IF(AND(H344=\"Yes\",I344<G344),Lookup!$C$9,IF(AND(H344=\"No\",I344<G344),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,28.46,null,{"$f":"IF(ISNUMBER(L344),IF(ISBLANK(M344),\"\",IF(M344>=L344,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},28.46,null,{"$f":"IF(ISNUMBER(O344),IF(ISBLANK(P344),\"\",IF(P344>=O344,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99423,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 21 Or More Min",46.6,null,null,{"$f":"IF(ISNUMBER(C345),IF(OR(AND(ISBLANK(D345),ISBLANK(E345)),AND(D345=\"No\",ISBLANK(E345))),\"\",IF(AND(ISBLANK(D345),ISNUMBER(E345)),Lookup!$C$11,IF(AND(D345=\"Yes\",ISBLANK(E345)),Lookup!$C$12,IF(AND(D345=\"Yes\",E345>=C345),Lookup!$C$7,IF(AND(D345=\"No\",E345>=C345),Lookup!$C$8,IF(AND(D345=\"Yes\",E345<C345),Lookup!$C$9,IF(AND(D345=\"No\",E345<C345),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},46.6,null,null,{"$f":"IF(ISNUMBER(G345),IF(OR(AND(ISBLANK(H345),ISBLANK(I345)),AND(H345=\"No\",ISBLANK(I345))),\"\",IF(AND(ISBLANK(H345),ISNUMBER(I345)),Lookup!$C$11,IF(AND(H345=\"Yes\",ISBLANK(I345)),Lookup!$C$12,IF(AND(H345=\"Yes\",I345>=G345),Lookup!$C$7,IF(AND(H345=\"No\",I345>=G345),Lookup!$C$8,IF(AND(H345=\"Yes\",I345<G345),Lookup!$C$9,IF(AND(H345=\"No\",I345<G345),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,44.99,null,{"$f":"IF(ISNUMBER(L345),IF(ISBLANK(M345),\"\",IF(M345>=L345,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},44.99,null,{"$f":"IF(ISNUMBER(O345),IF(ISBLANK(P345),\"\",IF(P345>=O345,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99424,"Prin care mgmt phys 1st 30",82.56,null,null,{"$f":"IF(ISNUMBER(C346),IF(OR(AND(ISBLANK(D346),ISBLANK(E346)),AND(D346=\"No\",ISBLANK(E346))),\"\",IF(AND(ISBLANK(D346),ISNUMBER(E346)),Lookup!$C$11,IF(AND(D346=\"Yes\",ISBLANK(E346)),Lookup!$C$12,IF(AND(D346=\"Yes\",E346>=C346),Lookup!$C$7,IF(AND(D346=\"No\",E346>=C346),Lookup!$C$8,IF(AND(D346=\"Yes\",E346<C346),Lookup!$C$9,IF(AND(D346=\"No\",E346<C346),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},82.56,null,null,{"$f":"IF(ISNUMBER(G346),IF(OR(AND(ISBLANK(H346),ISBLANK(I346)),AND(H346=\"No\",ISBLANK(I346))),\"\",IF(AND(ISBLANK(H346),ISNUMBER(I346)),Lookup!$C$11,IF(AND(H346=\"Yes\",ISBLANK(I346)),Lookup!$C$12,IF(AND(H346=\"Yes\",I346>=G346),Lookup!$C$7,IF(AND(H346=\"No\",I346>=G346),Lookup!$C$8,IF(AND(H346=\"Yes\",I346<G346),Lookup!$C$9,IF(AND(H346=\"No\",I346<G346),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,80.849999999999994,null,{"$f":"IF(ISNUMBER(L346),IF(ISBLANK(M346),\"\",IF(M346>=L346,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},80.849999999999994,null,{"$f":"IF(ISNUMBER(O346),IF(ISBLANK(P346),\"\",IF(P346>=O346,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99425,"Prin care mgmt phys ea addl",59.9,null,null,{"$f":"IF(ISNUMBER(C347),IF(OR(AND(ISBLANK(D347),ISBLANK(E347)),AND(D347=\"No\",ISBLANK(E347))),\"\",IF(AND(ISBLANK(D347),ISNUMBER(E347)),Lookup!$C$11,IF(AND(D347=\"Yes\",ISBLANK(E347)),Lookup!$C$12,IF(AND(D347=\"Yes\",E347>=C347),Lookup!$C$7,IF(AND(D347=\"No\",E347>=C347),Lookup!$C$8,IF(AND(D347=\"Yes\",E347<C347),Lookup!$C$9,IF(AND(D347=\"No\",E347<C347),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},59.9,null,null,{"$f":"IF(ISNUMBER(G347),IF(OR(AND(ISBLANK(H347),ISBLANK(I347)),AND(H347=\"No\",ISBLANK(I347))),\"\",IF(AND(ISBLANK(H347),ISNUMBER(I347)),Lookup!$C$11,IF(AND(H347=\"Yes\",ISBLANK(I347)),Lookup!$C$12,IF(AND(H347=\"Yes\",I347>=G347),Lookup!$C$7,IF(AND(H347=\"No\",I347>=G347),Lookup!$C$8,IF(AND(H347=\"Yes\",I347<G347),Lookup!$C$9,IF(AND(H347=\"No\",I347<G347),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,58.87,null,{"$f":"IF(ISNUMBER(L347),IF(ISBLANK(M347),\"\",IF(M347>=L347,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},58.87,null,{"$f":"IF(ISNUMBER(O347),IF(ISBLANK(P347),\"\",IF(P347>=O347,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99426,"Prin care mgmt staff 1st 30",61.87,null,null,{"$f":"IF(ISNUMBER(C348),IF(OR(AND(ISBLANK(D348),ISBLANK(E348)),AND(D348=\"No\",ISBLANK(E348))),\"\",IF(AND(ISBLANK(D348),ISNUMBER(E348)),Lookup!$C$11,IF(AND(D348=\"Yes\",ISBLANK(E348)),Lookup!$C$12,IF(AND(D348=\"Yes\",E348>=C348),Lookup!$C$7,IF(AND(D348=\"No\",E348>=C348),Lookup!$C$8,IF(AND(D348=\"Yes\",E348<C348),Lookup!$C$9,IF(AND(D348=\"No\",E348<C348),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},61.87,null,null,{"$f":"IF(ISNUMBER(G348),IF(OR(AND(ISBLANK(H348),ISBLANK(I348)),AND(H348=\"No\",ISBLANK(I348))),\"\",IF(AND(ISBLANK(H348),ISNUMBER(I348)),Lookup!$C$11,IF(AND(H348=\"Yes\",ISBLANK(I348)),Lookup!$C$12,IF(AND(H348=\"Yes\",I348>=G348),Lookup!$C$7,IF(AND(H348=\"No\",I348>=G348),Lookup!$C$8,IF(AND(H348=\"Yes\",I348<G348),Lookup!$C$9,IF(AND(H348=\"No\",I348<G348),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,61.75,null,{"$f":"IF(ISNUMBER(L348),IF(ISBLANK(M348),\"\",IF(M348>=L348,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},61.75,null,{"$f":"IF(ISNUMBER(O348),IF(ISBLANK(P348),\"\",IF(P348>=O348,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99427,"Prin care mgmt staff ea addl",47.22,null,null,{"$f":"IF(ISNUMBER(C349),IF(OR(AND(ISBLANK(D349),ISBLANK(E349)),AND(D349=\"No\",ISBLANK(E349))),\"\",IF(AND(ISBLANK(D349),ISNUMBER(E349)),Lookup!$C$11,IF(AND(D349=\"Yes\",ISBLANK(E349)),Lookup!$C$12,IF(AND(D349=\"Yes\",E349>=C349),Lookup!$C$7,IF(AND(D349=\"No\",E349>=C349),Lookup!$C$8,IF(AND(D349=\"Yes\",E349<C349),Lookup!$C$9,IF(AND(D349=\"No\",E349<C349),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},47.22,null,null,{"$f":"IF(ISNUMBER(G349),IF(OR(AND(ISBLANK(H349),ISBLANK(I349)),AND(H349=\"No\",ISBLANK(I349))),\"\",IF(AND(ISBLANK(H349),ISNUMBER(I349)),Lookup!$C$11,IF(AND(H349=\"Yes\",ISBLANK(I349)),Lookup!$C$12,IF(AND(H349=\"Yes\",I349>=G349),Lookup!$C$7,IF(AND(H349=\"No\",I349>=G349),Lookup!$C$8,IF(AND(H349=\"Yes\",I349<G349),Lookup!$C$9,IF(AND(H349=\"No\",I349<G349),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,50.39,null,{"$f":"IF(ISNUMBER(L349),IF(ISBLANK(M349),\"\",IF(M349>=L349,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},50.39,null,{"$f":"IF(ISNUMBER(O349),IF(ISBLANK(P349),\"\",IF(P349>=O349,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99429,"Unlisted Preventive Service","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C350),IF(OR(AND(ISBLANK(D350),ISBLANK(E350)),AND(D350=\"No\",ISBLANK(E350))),\"\",IF(AND(ISBLANK(D350),ISNUMBER(E350)),Lookup!$C$11,IF(AND(D350=\"Yes\",ISBLANK(E350)),Lookup!$C$12,IF(AND(D350=\"Yes\",E350>=C350),Lookup!$C$7,IF(AND(D350=\"No\",E350>=C350),Lookup!$C$8,IF(AND(D350=\"Yes\",E350<C350),Lookup!$C$9,IF(AND(D350=\"No\",E350<C350),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G350),IF(OR(AND(ISBLANK(H350),ISBLANK(I350)),AND(H350=\"No\",ISBLANK(I350))),\"\",IF(AND(ISBLANK(H350),ISNUMBER(I350)),Lookup!$C$11,IF(AND(H350=\"Yes\",ISBLANK(I350)),Lookup!$C$12,IF(AND(H350=\"Yes\",I350>=G350),Lookup!$C$7,IF(AND(H350=\"No\",I350>=G350),Lookup!$C$8,IF(AND(H350=\"Yes\",I350<G350),Lookup!$C$9,IF(AND(H350=\"No\",I350<G350),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L350),IF(ISBLANK(M350),\"\",IF(M350>=L350,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O350),IF(ISBLANK(P350),\"\",IF(P350>=O350,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99437,"Chrnc care mgmt phys ea addl",59.57,null,null,{"$f":"IF(ISNUMBER(C351),IF(OR(AND(ISBLANK(D351),ISBLANK(E351)),AND(D351=\"No\",ISBLANK(E351))),\"\",IF(AND(ISBLANK(D351),ISNUMBER(E351)),Lookup!$C$11,IF(AND(D351=\"Yes\",ISBLANK(E351)),Lookup!$C$12,IF(AND(D351=\"Yes\",E351>=C351),Lookup!$C$7,IF(AND(D351=\"No\",E351>=C351),Lookup!$C$8,IF(AND(D351=\"Yes\",E351<C351),Lookup!$C$9,IF(AND(D351=\"No\",E351<C351),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},59.57,null,null,{"$f":"IF(ISNUMBER(G351),IF(OR(AND(ISBLANK(H351),ISBLANK(I351)),AND(H351=\"No\",ISBLANK(I351))),\"\",IF(AND(ISBLANK(H351),ISNUMBER(I351)),Lookup!$C$11,IF(AND(H351=\"Yes\",ISBLANK(I351)),Lookup!$C$12,IF(AND(H351=\"Yes\",I351>=G351),Lookup!$C$7,IF(AND(H351=\"No\",I351>=G351),Lookup!$C$8,IF(AND(H351=\"Yes\",I351<G351),Lookup!$C$9,IF(AND(H351=\"No\",I351<G351),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,57.58,null,{"$f":"IF(ISNUMBER(L351),IF(ISBLANK(M351),\"\",IF(M351>=L351,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},57.58,null,{"$f":"IF(ISNUMBER(O351),IF(ISBLANK(P351),\"\",IF(P351>=O351,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99439,"Chrnc care mgmt staf ea addl",47.88,null,null,{"$f":"IF(ISNUMBER(C352),IF(OR(AND(ISBLANK(D352),ISBLANK(E352)),AND(D352=\"No\",ISBLANK(E352))),\"\",IF(AND(ISBLANK(D352),ISNUMBER(E352)),Lookup!$C$11,IF(AND(D352=\"Yes\",ISBLANK(E352)),Lookup!$C$12,IF(AND(D352=\"Yes\",E352>=C352),Lookup!$C$7,IF(AND(D352=\"No\",E352>=C352),Lookup!$C$8,IF(AND(D352=\"Yes\",E352<C352),Lookup!$C$9,IF(AND(D352=\"No\",E352<C352),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},47.88,null,null,{"$f":"IF(ISNUMBER(G352),IF(OR(AND(ISBLANK(H352),ISBLANK(I352)),AND(H352=\"No\",ISBLANK(I352))),\"\",IF(AND(ISBLANK(H352),ISNUMBER(I352)),Lookup!$C$11,IF(AND(H352=\"Yes\",ISBLANK(I352)),Lookup!$C$12,IF(AND(H352=\"Yes\",I352>=G352),Lookup!$C$7,IF(AND(H352=\"No\",I352>=G352),Lookup!$C$8,IF(AND(H352=\"Yes\",I352<G352),Lookup!$C$9,IF(AND(H352=\"No\",I352<G352),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,45.89,null,{"$f":"IF(ISNUMBER(L352),IF(ISBLANK(M352),\"\",IF(M352>=L352,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},45.89,null,{"$f":"IF(ISNUMBER(O352),IF(ISBLANK(P352),\"\",IF(P352>=O352,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99441,"Phys/Qhp Telephone Evaluation 5-10 Min",56.13,null,null,{"$f":"IF(ISNUMBER(C353),IF(OR(AND(ISBLANK(D353),ISBLANK(E353)),AND(D353=\"No\",ISBLANK(E353))),\"\",IF(AND(ISBLANK(D353),ISNUMBER(E353)),Lookup!$C$11,IF(AND(D353=\"Yes\",ISBLANK(E353)),Lookup!$C$12,IF(AND(D353=\"Yes\",E353>=C353),Lookup!$C$7,IF(AND(D353=\"No\",E353>=C353),Lookup!$C$8,IF(AND(D353=\"Yes\",E353<C353),Lookup!$C$9,IF(AND(D353=\"No\",E353<C353),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},56.13,null,null,{"$f":"IF(ISNUMBER(G353),IF(OR(AND(ISBLANK(H353),ISBLANK(I353)),AND(H353=\"No\",ISBLANK(I353))),\"\",IF(AND(ISBLANK(H353),ISNUMBER(I353)),Lookup!$C$11,IF(AND(H353=\"Yes\",ISBLANK(I353)),Lookup!$C$12,IF(AND(H353=\"Yes\",I353>=G353),Lookup!$C$7,IF(AND(H353=\"No\",I353>=G353),Lookup!$C$8,IF(AND(H353=\"Yes\",I353<G353),Lookup!$C$9,IF(AND(H353=\"No\",I353<G353),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L353),IF(ISBLANK(M353),\"\",IF(M353>=L353,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O353),IF(ISBLANK(P353),\"\",IF(P353>=O353,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99442,"Phone E/M Phys/Qhp 11-20 Min",90.42,null,null,{"$f":"IF(ISNUMBER(C354),IF(OR(AND(ISBLANK(D354),ISBLANK(E354)),AND(D354=\"No\",ISBLANK(E354))),\"\",IF(AND(ISBLANK(D354),ISNUMBER(E354)),Lookup!$C$11,IF(AND(D354=\"Yes\",ISBLANK(E354)),Lookup!$C$12,IF(AND(D354=\"Yes\",E354>=C354),Lookup!$C$7,IF(AND(D354=\"No\",E354>=C354),Lookup!$C$8,IF(AND(D354=\"Yes\",E354<C354),Lookup!$C$9,IF(AND(D354=\"No\",E354<C354),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},90.42,null,null,{"$f":"IF(ISNUMBER(G354),IF(OR(AND(ISBLANK(H354),ISBLANK(I354)),AND(H354=\"No\",ISBLANK(I354))),\"\",IF(AND(ISBLANK(H354),ISNUMBER(I354)),Lookup!$C$11,IF(AND(H354=\"Yes\",ISBLANK(I354)),Lookup!$C$12,IF(AND(H354=\"Yes\",I354>=G354),Lookup!$C$7,IF(AND(H354=\"No\",I354>=G354),Lookup!$C$8,IF(AND(H354=\"Yes\",I354<G354),Lookup!$C$9,IF(AND(H354=\"No\",I354<G354),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L354),IF(ISBLANK(M354),\"\",IF(M354>=L354,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O354),IF(ISBLANK(P354),\"\",IF(P354>=O354,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99443,"Phys/Qhp Telephone Evaluation 21-30 Min",128.02000000000001,null,null,{"$f":"IF(ISNUMBER(C355),IF(OR(AND(ISBLANK(D355),ISBLANK(E355)),AND(D355=\"No\",ISBLANK(E355))),\"\",IF(AND(ISBLANK(D355),ISNUMBER(E355)),Lookup!$C$11,IF(AND(D355=\"Yes\",ISBLANK(E355)),Lookup!$C$12,IF(AND(D355=\"Yes\",E355>=C355),Lookup!$C$7,IF(AND(D355=\"No\",E355>=C355),Lookup!$C$8,IF(AND(D355=\"Yes\",E355<C355),Lookup!$C$9,IF(AND(D355=\"No\",E355<C355),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},128.02000000000001,null,null,{"$f":"IF(ISNUMBER(G355),IF(OR(AND(ISBLANK(H355),ISBLANK(I355)),AND(H355=\"No\",ISBLANK(I355))),\"\",IF(AND(ISBLANK(H355),ISNUMBER(I355)),Lookup!$C$11,IF(AND(H355=\"Yes\",ISBLANK(I355)),Lookup!$C$12,IF(AND(H355=\"Yes\",I355>=G355),Lookup!$C$7,IF(AND(H355=\"No\",I355>=G355),Lookup!$C$8,IF(AND(H355=\"Yes\",I355<G355),Lookup!$C$9,IF(AND(H355=\"No\",I355<G355),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L355),IF(ISBLANK(M355),\"\",IF(M355>=L355,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O355),IF(ISBLANK(P355),\"\",IF(P355>=O355,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99446,"Interprofessional Electronic Health Assessment  5-10 Min ",17.66,null,null,{"$f":"IF(ISNUMBER(C356),IF(OR(AND(ISBLANK(D356),ISBLANK(E356)),AND(D356=\"No\",ISBLANK(E356))),\"\",IF(AND(ISBLANK(D356),ISNUMBER(E356)),Lookup!$C$11,IF(AND(D356=\"Yes\",ISBLANK(E356)),Lookup!$C$12,IF(AND(D356=\"Yes\",E356>=C356),Lookup!$C$7,IF(AND(D356=\"No\",E356>=C356),Lookup!$C$8,IF(AND(D356=\"Yes\",E356<C356),Lookup!$C$9,IF(AND(D356=\"No\",E356<C356),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},17.66,null,null,{"$f":"IF(ISNUMBER(G356),IF(OR(AND(ISBLANK(H356),ISBLANK(I356)),AND(H356=\"No\",ISBLANK(I356))),\"\",IF(AND(ISBLANK(H356),ISNUMBER(I356)),Lookup!$C$11,IF(AND(H356=\"Yes\",ISBLANK(I356)),Lookup!$C$12,IF(AND(H356=\"Yes\",I356>=G356),Lookup!$C$7,IF(AND(H356=\"No\",I356>=G356),Lookup!$C$8,IF(AND(H356=\"Yes\",I356<G356),Lookup!$C$9,IF(AND(H356=\"No\",I356<G356),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.16,null,{"$f":"IF(ISNUMBER(L356),IF(ISBLANK(M356),\"\",IF(M356>=L356,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.16,null,{"$f":"IF(ISNUMBER(O356),IF(ISBLANK(P356),\"\",IF(P356>=O356,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99447,"Interprofessional Electronic Health Assessment  11-20 Min ",35.96,null,null,{"$f":"IF(ISNUMBER(C357),IF(OR(AND(ISBLANK(D357),ISBLANK(E357)),AND(D357=\"No\",ISBLANK(E357))),\"\",IF(AND(ISBLANK(D357),ISNUMBER(E357)),Lookup!$C$11,IF(AND(D357=\"Yes\",ISBLANK(E357)),Lookup!$C$12,IF(AND(D357=\"Yes\",E357>=C357),Lookup!$C$7,IF(AND(D357=\"No\",E357>=C357),Lookup!$C$8,IF(AND(D357=\"Yes\",E357<C357),Lookup!$C$9,IF(AND(D357=\"No\",E357<C357),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},35.96,null,null,{"$f":"IF(ISNUMBER(G357),IF(OR(AND(ISBLANK(H357),ISBLANK(I357)),AND(H357=\"No\",ISBLANK(I357))),\"\",IF(AND(ISBLANK(H357),ISNUMBER(I357)),Lookup!$C$11,IF(AND(H357=\"Yes\",ISBLANK(I357)),Lookup!$C$12,IF(AND(H357=\"Yes\",I357>=G357),Lookup!$C$7,IF(AND(H357=\"No\",I357>=G357),Lookup!$C$8,IF(AND(H357=\"Yes\",I357<G357),Lookup!$C$9,IF(AND(H357=\"No\",I357<G357),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,34.64,null,{"$f":"IF(ISNUMBER(L357),IF(ISBLANK(M357),\"\",IF(M357>=L357,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},34.64,null,{"$f":"IF(ISNUMBER(O357),IF(ISBLANK(P357),\"\",IF(P357>=O357,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99448,"Interprofessional Electronic Health Assessment  21-30  Min ",53.3,null,null,{"$f":"IF(ISNUMBER(C358),IF(OR(AND(ISBLANK(D358),ISBLANK(E358)),AND(D358=\"No\",ISBLANK(E358))),\"\",IF(AND(ISBLANK(D358),ISNUMBER(E358)),Lookup!$C$11,IF(AND(D358=\"Yes\",ISBLANK(E358)),Lookup!$C$12,IF(AND(D358=\"Yes\",E358>=C358),Lookup!$C$7,IF(AND(D358=\"No\",E358>=C358),Lookup!$C$8,IF(AND(D358=\"Yes\",E358<C358),Lookup!$C$9,IF(AND(D358=\"No\",E358<C358),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},53.3,null,null,{"$f":"IF(ISNUMBER(G358),IF(OR(AND(ISBLANK(H358),ISBLANK(I358)),AND(H358=\"No\",ISBLANK(I358))),\"\",IF(AND(ISBLANK(H358),ISNUMBER(I358)),Lookup!$C$11,IF(AND(H358=\"Yes\",ISBLANK(I358)),Lookup!$C$12,IF(AND(H358=\"Yes\",I358>=G358),Lookup!$C$7,IF(AND(H358=\"No\",I358>=G358),Lookup!$C$8,IF(AND(H358=\"Yes\",I358<G358),Lookup!$C$9,IF(AND(H358=\"No\",I358<G358),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,51.49,null,{"$f":"IF(ISNUMBER(L358),IF(ISBLANK(M358),\"\",IF(M358>=L358,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},51.49,null,{"$f":"IF(ISNUMBER(O358),IF(ISBLANK(P358),\"\",IF(P358>=O358,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99449,"Interprofessional Electronic Health Assessment  31 Min <",70.97,null,null,{"$f":"IF(ISNUMBER(C359),IF(OR(AND(ISBLANK(D359),ISBLANK(E359)),AND(D359=\"No\",ISBLANK(E359))),\"\",IF(AND(ISBLANK(D359),ISNUMBER(E359)),Lookup!$C$11,IF(AND(D359=\"Yes\",ISBLANK(E359)),Lookup!$C$12,IF(AND(D359=\"Yes\",E359>=C359),Lookup!$C$7,IF(AND(D359=\"No\",E359>=C359),Lookup!$C$8,IF(AND(D359=\"Yes\",E359<C359),Lookup!$C$9,IF(AND(D359=\"No\",E359<C359),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.97,null,null,{"$f":"IF(ISNUMBER(G359),IF(OR(AND(ISBLANK(H359),ISBLANK(I359)),AND(H359=\"No\",ISBLANK(I359))),\"\",IF(AND(ISBLANK(H359),ISNUMBER(I359)),Lookup!$C$11,IF(AND(H359=\"Yes\",ISBLANK(I359)),Lookup!$C$12,IF(AND(H359=\"Yes\",I359>=G359),Lookup!$C$7,IF(AND(H359=\"No\",I359>=G359),Lookup!$C$8,IF(AND(H359=\"Yes\",I359<G359),Lookup!$C$9,IF(AND(H359=\"No\",I359<G359),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,69.59,null,{"$f":"IF(ISNUMBER(L359),IF(ISBLANK(M359),\"\",IF(M359>=L359,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},69.59,null,{"$f":"IF(ISNUMBER(O359),IF(ISBLANK(P359),\"\",IF(P359>=O359,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99451,"Interprofessional Electronic Health Assessment 5 Min >",34.67,null,null,{"$f":"IF(ISNUMBER(C360),IF(OR(AND(ISBLANK(D360),ISBLANK(E360)),AND(D360=\"No\",ISBLANK(E360))),\"\",IF(AND(ISBLANK(D360),ISNUMBER(E360)),Lookup!$C$11,IF(AND(D360=\"Yes\",ISBLANK(E360)),Lookup!$C$12,IF(AND(D360=\"Yes\",E360>=C360),Lookup!$C$7,IF(AND(D360=\"No\",E360>=C360),Lookup!$C$8,IF(AND(D360=\"Yes\",E360<C360),Lookup!$C$9,IF(AND(D360=\"No\",E360<C360),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},34.67,null,null,{"$f":"IF(ISNUMBER(G360),IF(OR(AND(ISBLANK(H360),ISBLANK(I360)),AND(H360=\"No\",ISBLANK(I360))),\"\",IF(AND(ISBLANK(H360),ISNUMBER(I360)),Lookup!$C$11,IF(AND(H360=\"Yes\",ISBLANK(I360)),Lookup!$C$12,IF(AND(H360=\"Yes\",I360>=G360),Lookup!$C$7,IF(AND(H360=\"No\",I360>=G360),Lookup!$C$8,IF(AND(H360=\"Yes\",I360<G360),Lookup!$C$9,IF(AND(H360=\"No\",I360<G360),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.06,null,{"$f":"IF(ISNUMBER(L360),IF(ISBLANK(M360),\"\",IF(M360>=L360,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.06,null,{"$f":"IF(ISNUMBER(O360),IF(ISBLANK(P360),\"\",IF(P360>=O360,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99452,"Interprofessional Electronic Health Record Referral Service(S) Provided By A Treating Physician Health Care Professional, > 16 Min",33.69,null,null,{"$f":"IF(ISNUMBER(C361),IF(OR(AND(ISBLANK(D361),ISBLANK(E361)),AND(D361=\"No\",ISBLANK(E361))),\"\",IF(AND(ISBLANK(D361),ISNUMBER(E361)),Lookup!$C$11,IF(AND(D361=\"Yes\",ISBLANK(E361)),Lookup!$C$12,IF(AND(D361=\"Yes\",E361>=C361),Lookup!$C$7,IF(AND(D361=\"No\",E361>=C361),Lookup!$C$8,IF(AND(D361=\"Yes\",E361<C361),Lookup!$C$9,IF(AND(D361=\"No\",E361<C361),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},33.69,null,null,{"$f":"IF(ISNUMBER(G361),IF(OR(AND(ISBLANK(H361),ISBLANK(I361)),AND(H361=\"No\",ISBLANK(I361))),\"\",IF(AND(ISBLANK(H361),ISNUMBER(I361)),Lookup!$C$11,IF(AND(H361=\"Yes\",ISBLANK(I361)),Lookup!$C$12,IF(AND(H361=\"Yes\",I361>=G361),Lookup!$C$7,IF(AND(H361=\"No\",I361>=G361),Lookup!$C$8,IF(AND(H361=\"Yes\",I361<G361),Lookup!$C$9,IF(AND(H361=\"No\",I361<G361),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.700000000000003,null,{"$f":"IF(ISNUMBER(L361),IF(ISBLANK(M361),\"\",IF(M361>=L361,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.700000000000003,null,{"$f":"IF(ISNUMBER(O361),IF(ISBLANK(P361),\"\",IF(P361>=O361,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99453,"Remote Monitoring Physiologic Parameters Initial ",19.78,null,null,{"$f":"IF(ISNUMBER(C362),IF(OR(AND(ISBLANK(D362),ISBLANK(E362)),AND(D362=\"No\",ISBLANK(E362))),\"\",IF(AND(ISBLANK(D362),ISNUMBER(E362)),Lookup!$C$11,IF(AND(D362=\"Yes\",ISBLANK(E362)),Lookup!$C$12,IF(AND(D362=\"Yes\",E362>=C362),Lookup!$C$7,IF(AND(D362=\"No\",E362>=C362),Lookup!$C$8,IF(AND(D362=\"Yes\",E362<C362),Lookup!$C$9,IF(AND(D362=\"No\",E362<C362),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},19.78,null,null,{"$f":"IF(ISNUMBER(G362),IF(OR(AND(ISBLANK(H362),ISBLANK(I362)),AND(H362=\"No\",ISBLANK(I362))),\"\",IF(AND(ISBLANK(H362),ISNUMBER(I362)),Lookup!$C$11,IF(AND(H362=\"Yes\",ISBLANK(I362)),Lookup!$C$12,IF(AND(H362=\"Yes\",I362>=G362),Lookup!$C$7,IF(AND(H362=\"No\",I362>=G362),Lookup!$C$8,IF(AND(H362=\"Yes\",I362<G362),Lookup!$C$9,IF(AND(H362=\"No\",I362<G362),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,19.55,null,{"$f":"IF(ISNUMBER(L362),IF(ISBLANK(M362),\"\",IF(M362>=L362,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},19.55,null,{"$f":"IF(ISNUMBER(O362),IF(ISBLANK(P362),\"\",IF(P362>=O362,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99454,"Remote Monitoring Physiologic Parameters Programed Transmission ",46.88,null,null,{"$f":"IF(ISNUMBER(C363),IF(OR(AND(ISBLANK(D363),ISBLANK(E363)),AND(D363=\"No\",ISBLANK(E363))),\"\",IF(AND(ISBLANK(D363),ISNUMBER(E363)),Lookup!$C$11,IF(AND(D363=\"Yes\",ISBLANK(E363)),Lookup!$C$12,IF(AND(D363=\"Yes\",E363>=C363),Lookup!$C$7,IF(AND(D363=\"No\",E363>=C363),Lookup!$C$8,IF(AND(D363=\"Yes\",E363<C363),Lookup!$C$9,IF(AND(D363=\"No\",E363<C363),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},46.88,null,null,{"$f":"IF(ISNUMBER(G363),IF(OR(AND(ISBLANK(H363),ISBLANK(I363)),AND(H363=\"No\",ISBLANK(I363))),\"\",IF(AND(ISBLANK(H363),ISNUMBER(I363)),Lookup!$C$11,IF(AND(H363=\"Yes\",ISBLANK(I363)),Lookup!$C$12,IF(AND(H363=\"Yes\",I363>=G363),Lookup!$C$7,IF(AND(H363=\"No\",I363>=G363),Lookup!$C$8,IF(AND(H363=\"Yes\",I363<G363),Lookup!$C$9,IF(AND(H363=\"No\",I363<G363),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,42.66,null,{"$f":"IF(ISNUMBER(L363),IF(ISBLANK(M363),\"\",IF(M363>=L363,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},42.66,null,{"$f":"IF(ISNUMBER(O363),IF(ISBLANK(P363),\"\",IF(P363>=O363,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99455,"Work Related Disability Exam",0,null,null,{"$f":"IF(ISNUMBER(C364),IF(OR(AND(ISBLANK(D364),ISBLANK(E364)),AND(D364=\"No\",ISBLANK(E364))),\"\",IF(AND(ISBLANK(D364),ISNUMBER(E364)),Lookup!$C$11,IF(AND(D364=\"Yes\",ISBLANK(E364)),Lookup!$C$12,IF(AND(D364=\"Yes\",E364>=C364),Lookup!$C$7,IF(AND(D364=\"No\",E364>=C364),Lookup!$C$8,IF(AND(D364=\"Yes\",E364<C364),Lookup!$C$9,IF(AND(D364=\"No\",E364<C364),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},0,null,null,{"$f":"IF(ISNUMBER(G364),IF(OR(AND(ISBLANK(H364),ISBLANK(I364)),AND(H364=\"No\",ISBLANK(I364))),\"\",IF(AND(ISBLANK(H364),ISNUMBER(I364)),Lookup!$C$11,IF(AND(H364=\"Yes\",ISBLANK(I364)),Lookup!$C$12,IF(AND(H364=\"Yes\",I364>=G364),Lookup!$C$7,IF(AND(H364=\"No\",I364>=G364),Lookup!$C$8,IF(AND(H364=\"Yes\",I364<G364),Lookup!$C$9,IF(AND(H364=\"No\",I364<G364),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,0,null,{"$f":"IF(ISNUMBER(L364),IF(ISBLANK(M364),\"\",IF(M364>=L364,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},0,null,{"$f":"IF(ISNUMBER(O364),IF(ISBLANK(P364),\"\",IF(P364>=O364,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99456,"Disability Examination",0,null,null,{"$f":"IF(ISNUMBER(C365),IF(OR(AND(ISBLANK(D365),ISBLANK(E365)),AND(D365=\"No\",ISBLANK(E365))),\"\",IF(AND(ISBLANK(D365),ISNUMBER(E365)),Lookup!$C$11,IF(AND(D365=\"Yes\",ISBLANK(E365)),Lookup!$C$12,IF(AND(D365=\"Yes\",E365>=C365),Lookup!$C$7,IF(AND(D365=\"No\",E365>=C365),Lookup!$C$8,IF(AND(D365=\"Yes\",E365<C365),Lookup!$C$9,IF(AND(D365=\"No\",E365<C365),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},0,null,null,{"$f":"IF(ISNUMBER(G365),IF(OR(AND(ISBLANK(H365),ISBLANK(I365)),AND(H365=\"No\",ISBLANK(I365))),\"\",IF(AND(ISBLANK(H365),ISNUMBER(I365)),Lookup!$C$11,IF(AND(H365=\"Yes\",ISBLANK(I365)),Lookup!$C$12,IF(AND(H365=\"Yes\",I365>=G365),Lookup!$C$7,IF(AND(H365=\"No\",I365>=G365),Lookup!$C$8,IF(AND(H365=\"Yes\",I365<G365),Lookup!$C$9,IF(AND(H365=\"No\",I365<G365),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,0,null,{"$f":"IF(ISNUMBER(L365),IF(ISBLANK(M365),\"\",IF(M365>=L365,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},0,null,{"$f":"IF(ISNUMBER(O365),IF(ISBLANK(P365),\"\",IF(P365>=O365,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99457,"Remote Physiologic Monitoring Treatment Management Services,  First 20 Min",48.83,null,null,{"$f":"IF(ISNUMBER(C366),IF(OR(AND(ISBLANK(D366),ISBLANK(E366)),AND(D366=\"No\",ISBLANK(E366))),\"\",IF(AND(ISBLANK(D366),ISNUMBER(E366)),Lookup!$C$11,IF(AND(D366=\"Yes\",ISBLANK(E366)),Lookup!$C$12,IF(AND(D366=\"Yes\",E366>=C366),Lookup!$C$7,IF(AND(D366=\"No\",E366>=C366),Lookup!$C$8,IF(AND(D366=\"Yes\",E366<C366),Lookup!$C$9,IF(AND(D366=\"No\",E366<C366),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},48.83,null,null,{"$f":"IF(ISNUMBER(G366),IF(OR(AND(ISBLANK(H366),ISBLANK(I366)),AND(H366=\"No\",ISBLANK(I366))),\"\",IF(AND(ISBLANK(H366),ISNUMBER(I366)),Lookup!$C$11,IF(AND(H366=\"Yes\",ISBLANK(I366)),Lookup!$C$12,IF(AND(H366=\"Yes\",I366>=G366),Lookup!$C$7,IF(AND(H366=\"No\",I366>=G366),Lookup!$C$8,IF(AND(H366=\"Yes\",I366<G366),Lookup!$C$9,IF(AND(H366=\"No\",I366<G366),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,47.77,null,{"$f":"IF(ISNUMBER(L366),IF(ISBLANK(M366),\"\",IF(M366>=L366,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},47.77,null,{"$f":"IF(ISNUMBER(O366),IF(ISBLANK(P366),\"\",IF(P366>=O366,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99458,"Remote Physiologic Monitoring Treatment Management Services,  Additional 20 Min",39.25,null,null,{"$f":"IF(ISNUMBER(C367),IF(OR(AND(ISBLANK(D367),ISBLANK(E367)),AND(D367=\"No\",ISBLANK(E367))),\"\",IF(AND(ISBLANK(D367),ISNUMBER(E367)),Lookup!$C$11,IF(AND(D367=\"Yes\",ISBLANK(E367)),Lookup!$C$12,IF(AND(D367=\"Yes\",E367>=C367),Lookup!$C$7,IF(AND(D367=\"No\",E367>=C367),Lookup!$C$8,IF(AND(D367=\"Yes\",E367<C367),Lookup!$C$9,IF(AND(D367=\"No\",E367<C367),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},39.25,null,null,{"$f":"IF(ISNUMBER(G367),IF(OR(AND(ISBLANK(H367),ISBLANK(I367)),AND(H367=\"No\",ISBLANK(I367))),\"\",IF(AND(ISBLANK(H367),ISNUMBER(I367)),Lookup!$C$11,IF(AND(H367=\"Yes\",ISBLANK(I367)),Lookup!$C$12,IF(AND(H367=\"Yes\",I367>=G367),Lookup!$C$7,IF(AND(H367=\"No\",I367>=G367),Lookup!$C$8,IF(AND(H367=\"Yes\",I367<G367),Lookup!$C$9,IF(AND(H367=\"No\",I367<G367),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,38.46,null,{"$f":"IF(ISNUMBER(L367),IF(ISBLANK(M367),\"\",IF(M367>=L367,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},38.46,null,{"$f":"IF(ISNUMBER(O367),IF(ISBLANK(P367),\"\",IF(P367>=O367,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99459,"Pelvic examination ",22.45,null,null,{"$f":"IF(ISNUMBER(C368),IF(OR(AND(ISBLANK(D368),ISBLANK(E368)),AND(D368=\"No\",ISBLANK(E368))),\"\",IF(AND(ISBLANK(D368),ISNUMBER(E368)),Lookup!$C$11,IF(AND(D368=\"Yes\",ISBLANK(E368)),Lookup!$C$12,IF(AND(D368=\"Yes\",E368>=C368),Lookup!$C$7,IF(AND(D368=\"No\",E368>=C368),Lookup!$C$8,IF(AND(D368=\"Yes\",E368<C368),Lookup!$C$9,IF(AND(D368=\"No\",E368<C368),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},22.45,null,null,{"$f":"IF(ISNUMBER(G368),IF(OR(AND(ISBLANK(H368),ISBLANK(I368)),AND(H368=\"No\",ISBLANK(I368))),\"\",IF(AND(ISBLANK(H368),ISNUMBER(I368)),Lookup!$C$11,IF(AND(H368=\"Yes\",ISBLANK(I368)),Lookup!$C$12,IF(AND(H368=\"Yes\",I368>=G368),Lookup!$C$7,IF(AND(H368=\"No\",I368>=G368),Lookup!$C$8,IF(AND(H368=\"Yes\",I368<G368),Lookup!$C$9,IF(AND(H368=\"No\",I368<G368),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,20.54,null,{"$f":"IF(ISNUMBER(L368),IF(ISBLANK(M368),\"\",IF(M368>=L368,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},20.54,null,{"$f":"IF(ISNUMBER(O368),IF(ISBLANK(P368),\"\",IF(P368>=O368,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99483,"Assmt & Care Planning Pt W/Cognitive Impairment",272.24,null,null,{"$f":"IF(ISNUMBER(C369),IF(OR(AND(ISBLANK(D369),ISBLANK(E369)),AND(D369=\"No\",ISBLANK(E369))),\"\",IF(AND(ISBLANK(D369),ISNUMBER(E369)),Lookup!$C$11,IF(AND(D369=\"Yes\",ISBLANK(E369)),Lookup!$C$12,IF(AND(D369=\"Yes\",E369>=C369),Lookup!$C$7,IF(AND(D369=\"No\",E369>=C369),Lookup!$C$8,IF(AND(D369=\"Yes\",E369<C369),Lookup!$C$9,IF(AND(D369=\"No\",E369<C369),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},272.24,null,null,{"$f":"IF(ISNUMBER(G369),IF(OR(AND(ISBLANK(H369),ISBLANK(I369)),AND(H369=\"No\",ISBLANK(I369))),\"\",IF(AND(ISBLANK(H369),ISNUMBER(I369)),Lookup!$C$11,IF(AND(H369=\"Yes\",ISBLANK(I369)),Lookup!$C$12,IF(AND(H369=\"Yes\",I369>=G369),Lookup!$C$7,IF(AND(H369=\"No\",I369>=G369),Lookup!$C$8,IF(AND(H369=\"Yes\",I369<G369),Lookup!$C$9,IF(AND(H369=\"No\",I369<G369),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,265.82,null,{"$f":"IF(ISNUMBER(L369),IF(ISBLANK(M369),\"\",IF(M369>=L369,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},265.82,null,{"$f":"IF(ISNUMBER(O369),IF(ISBLANK(P369),\"\",IF(P369>=O369,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99484,"Care Mgmt Svc Bhvl Health Conditions 20 Min",54.93,null,null,{"$f":"IF(ISNUMBER(C370),IF(OR(AND(ISBLANK(D370),ISBLANK(E370)),AND(D370=\"No\",ISBLANK(E370))),\"\",IF(AND(ISBLANK(D370),ISNUMBER(E370)),Lookup!$C$11,IF(AND(D370=\"Yes\",ISBLANK(E370)),Lookup!$C$12,IF(AND(D370=\"Yes\",E370>=C370),Lookup!$C$7,IF(AND(D370=\"No\",E370>=C370),Lookup!$C$8,IF(AND(D370=\"Yes\",E370<C370),Lookup!$C$9,IF(AND(D370=\"No\",E370<C370),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},54.93,null,null,{"$f":"IF(ISNUMBER(G370),IF(OR(AND(ISBLANK(H370),ISBLANK(I370)),AND(H370=\"No\",ISBLANK(I370))),\"\",IF(AND(ISBLANK(H370),ISNUMBER(I370)),Lookup!$C$11,IF(AND(H370=\"Yes\",ISBLANK(I370)),Lookup!$C$12,IF(AND(H370=\"Yes\",I370>=G370),Lookup!$C$7,IF(AND(H370=\"No\",I370>=G370),Lookup!$C$8,IF(AND(H370=\"Yes\",I370<G370),Lookup!$C$9,IF(AND(H370=\"No\",I370<G370),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,53.07,null,{"$f":"IF(ISNUMBER(L370),IF(ISBLANK(M370),\"\",IF(M370>=L370,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},53.07,null,{"$f":"IF(ISNUMBER(O370),IF(ISBLANK(P370),\"\",IF(P370>=O370,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99487,"Complex Care W/O Pt Vsit 60 Min",133.93,null,null,{"$f":"IF(ISNUMBER(C371),IF(OR(AND(ISBLANK(D371),ISBLANK(E371)),AND(D371=\"No\",ISBLANK(E371))),\"\",IF(AND(ISBLANK(D371),ISNUMBER(E371)),Lookup!$C$11,IF(AND(D371=\"Yes\",ISBLANK(E371)),Lookup!$C$12,IF(AND(D371=\"Yes\",E371>=C371),Lookup!$C$7,IF(AND(D371=\"No\",E371>=C371),Lookup!$C$8,IF(AND(D371=\"Yes\",E371<C371),Lookup!$C$9,IF(AND(D371=\"No\",E371<C371),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},133.93,null,null,{"$f":"IF(ISNUMBER(G371),IF(OR(AND(ISBLANK(H371),ISBLANK(I371)),AND(H371=\"No\",ISBLANK(I371))),\"\",IF(AND(ISBLANK(H371),ISNUMBER(I371)),Lookup!$C$11,IF(AND(H371=\"Yes\",ISBLANK(I371)),Lookup!$C$12,IF(AND(H371=\"Yes\",I371>=G371),Lookup!$C$7,IF(AND(H371=\"No\",I371>=G371),Lookup!$C$8,IF(AND(H371=\"Yes\",I371<G371),Lookup!$C$9,IF(AND(H371=\"No\",I371<G371),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,131.41,null,{"$f":"IF(ISNUMBER(L371),IF(ISBLANK(M371),\"\",IF(M371>=L371,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},131.41,null,{"$f":"IF(ISNUMBER(O371),IF(ISBLANK(P371),\"\",IF(P371>=O371,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99489,"Complex Chronic Care Addl 30 Min",72.12,null,null,{"$f":"IF(ISNUMBER(C372),IF(OR(AND(ISBLANK(D372),ISBLANK(E372)),AND(D372=\"No\",ISBLANK(E372))),\"\",IF(AND(ISBLANK(D372),ISNUMBER(E372)),Lookup!$C$11,IF(AND(D372=\"Yes\",ISBLANK(E372)),Lookup!$C$12,IF(AND(D372=\"Yes\",E372>=C372),Lookup!$C$7,IF(AND(D372=\"No\",E372>=C372),Lookup!$C$8,IF(AND(D372=\"Yes\",E372<C372),Lookup!$C$9,IF(AND(D372=\"No\",E372<C372),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},72.12,null,null,{"$f":"IF(ISNUMBER(G372),IF(OR(AND(ISBLANK(H372),ISBLANK(I372)),AND(H372=\"No\",ISBLANK(I372))),\"\",IF(AND(ISBLANK(H372),ISNUMBER(I372)),Lookup!$C$11,IF(AND(H372=\"Yes\",ISBLANK(I372)),Lookup!$C$12,IF(AND(H372=\"Yes\",I372>=G372),Lookup!$C$7,IF(AND(H372=\"No\",I372>=G372),Lookup!$C$8,IF(AND(H372=\"Yes\",I372<G372),Lookup!$C$9,IF(AND(H372=\"No\",I372<G372),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,70.42,null,{"$f":"IF(ISNUMBER(L372),IF(ISBLANK(M372),\"\",IF(M372>=L372,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},70.42,null,{"$f":"IF(ISNUMBER(O372),IF(ISBLANK(P372),\"\",IF(P372>=O372,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99490,"Chron Care Mgmt Srvc 20 Min",62.55,null,null,{"$f":"IF(ISNUMBER(C373),IF(OR(AND(ISBLANK(D373),ISBLANK(E373)),AND(D373=\"No\",ISBLANK(E373))),\"\",IF(AND(ISBLANK(D373),ISNUMBER(E373)),Lookup!$C$11,IF(AND(D373=\"Yes\",ISBLANK(E373)),Lookup!$C$12,IF(AND(D373=\"Yes\",E373>=C373),Lookup!$C$7,IF(AND(D373=\"No\",E373>=C373),Lookup!$C$8,IF(AND(D373=\"Yes\",E373<C373),Lookup!$C$9,IF(AND(D373=\"No\",E373<C373),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},62.55,null,null,{"$f":"IF(ISNUMBER(G373),IF(OR(AND(ISBLANK(H373),ISBLANK(I373)),AND(H373=\"No\",ISBLANK(I373))),\"\",IF(AND(ISBLANK(H373),ISNUMBER(I373)),Lookup!$C$11,IF(AND(H373=\"Yes\",ISBLANK(I373)),Lookup!$C$12,IF(AND(H373=\"Yes\",I373>=G373),Lookup!$C$7,IF(AND(H373=\"No\",I373>=G373),Lookup!$C$8,IF(AND(H373=\"Yes\",I373<G373),Lookup!$C$9,IF(AND(H373=\"No\",I373<G373),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,60.47,null,{"$f":"IF(ISNUMBER(L373),IF(ISBLANK(M373),\"\",IF(M373>=L373,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},60.47,null,{"$f":"IF(ISNUMBER(O373),IF(ISBLANK(P373),\"\",IF(P373>=O373,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99491,"Chronic Care Management Services At Least 30 Min",84.58,null,null,{"$f":"IF(ISNUMBER(C374),IF(OR(AND(ISBLANK(D374),ISBLANK(E374)),AND(D374=\"No\",ISBLANK(E374))),\"\",IF(AND(ISBLANK(D374),ISNUMBER(E374)),Lookup!$C$11,IF(AND(D374=\"Yes\",ISBLANK(E374)),Lookup!$C$12,IF(AND(D374=\"Yes\",E374>=C374),Lookup!$C$7,IF(AND(D374=\"No\",E374>=C374),Lookup!$C$8,IF(AND(D374=\"Yes\",E374<C374),Lookup!$C$9,IF(AND(D374=\"No\",E374<C374),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},84.58,null,null,{"$f":"IF(ISNUMBER(G374),IF(OR(AND(ISBLANK(H374),ISBLANK(I374)),AND(H374=\"No\",ISBLANK(I374))),\"\",IF(AND(ISBLANK(H374),ISNUMBER(I374)),Lookup!$C$11,IF(AND(H374=\"Yes\",ISBLANK(I374)),Lookup!$C$12,IF(AND(H374=\"Yes\",I374>=G374),Lookup!$C$7,IF(AND(H374=\"No\",I374>=G374),Lookup!$C$8,IF(AND(H374=\"Yes\",I374<G374),Lookup!$C$9,IF(AND(H374=\"No\",I374<G374),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,82.19,null,{"$f":"IF(ISNUMBER(L374),IF(ISBLANK(M374),\"\",IF(M374>=L374,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},82.19,null,{"$f":"IF(ISNUMBER(O374),IF(ISBLANK(P374),\"\",IF(P374>=O374,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99492,"1St Psyc Collab Care Mgmt",152.79,null,null,{"$f":"IF(ISNUMBER(C375),IF(OR(AND(ISBLANK(D375),ISBLANK(E375)),AND(D375=\"No\",ISBLANK(E375))),\"\",IF(AND(ISBLANK(D375),ISNUMBER(E375)),Lookup!$C$11,IF(AND(D375=\"Yes\",ISBLANK(E375)),Lookup!$C$12,IF(AND(D375=\"Yes\",E375>=C375),Lookup!$C$7,IF(AND(D375=\"No\",E375>=C375),Lookup!$C$8,IF(AND(D375=\"Yes\",E375<C375),Lookup!$C$9,IF(AND(D375=\"No\",E375<C375),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},152.79,null,null,{"$f":"IF(ISNUMBER(G375),IF(OR(AND(ISBLANK(H375),ISBLANK(I375)),AND(H375=\"No\",ISBLANK(I375))),\"\",IF(AND(ISBLANK(H375),ISNUMBER(I375)),Lookup!$C$11,IF(AND(H375=\"Yes\",ISBLANK(I375)),Lookup!$C$12,IF(AND(H375=\"Yes\",I375>=G375),Lookup!$C$7,IF(AND(H375=\"No\",I375>=G375),Lookup!$C$8,IF(AND(H375=\"Yes\",I375<G375),Lookup!$C$9,IF(AND(H375=\"No\",I375<G375),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,144.93,null,{"$f":"IF(ISNUMBER(L375),IF(ISBLANK(M375),\"\",IF(M375>=L375,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},144.93,null,{"$f":"IF(ISNUMBER(O375),IF(ISBLANK(P375),\"\",IF(P375>=O375,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99493,"Sbsq Psyc Collab Care Mgmt",139.65,null,null,{"$f":"IF(ISNUMBER(C376),IF(OR(AND(ISBLANK(D376),ISBLANK(E376)),AND(D376=\"No\",ISBLANK(E376))),\"\",IF(AND(ISBLANK(D376),ISNUMBER(E376)),Lookup!$C$11,IF(AND(D376=\"Yes\",ISBLANK(E376)),Lookup!$C$12,IF(AND(D376=\"Yes\",E376>=C376),Lookup!$C$7,IF(AND(D376=\"No\",E376>=C376),Lookup!$C$8,IF(AND(D376=\"Yes\",E376<C376),Lookup!$C$9,IF(AND(D376=\"No\",E376<C376),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},139.65,null,null,{"$f":"IF(ISNUMBER(G376),IF(OR(AND(ISBLANK(H376),ISBLANK(I376)),AND(H376=\"No\",ISBLANK(I376))),\"\",IF(AND(ISBLANK(H376),ISNUMBER(I376)),Lookup!$C$11,IF(AND(H376=\"Yes\",ISBLANK(I376)),Lookup!$C$12,IF(AND(H376=\"Yes\",I376>=G376),Lookup!$C$7,IF(AND(H376=\"No\",I376>=G376),Lookup!$C$8,IF(AND(H376=\"Yes\",I376<G376),Lookup!$C$9,IF(AND(H376=\"No\",I376<G376),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,133.44,null,{"$f":"IF(ISNUMBER(L376),IF(ISBLANK(M376),\"\",IF(M376>=L376,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},133.44,null,{"$f":"IF(ISNUMBER(O376),IF(ISBLANK(P376),\"\",IF(P376>=O376,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99494,"1St/Sbsq Psyc Collab Care",59.17,null,null,{"$f":"IF(ISNUMBER(C377),IF(OR(AND(ISBLANK(D377),ISBLANK(E377)),AND(D377=\"No\",ISBLANK(E377))),\"\",IF(AND(ISBLANK(D377),ISNUMBER(E377)),Lookup!$C$11,IF(AND(D377=\"Yes\",ISBLANK(E377)),Lookup!$C$12,IF(AND(D377=\"Yes\",E377>=C377),Lookup!$C$7,IF(AND(D377=\"No\",E377>=C377),Lookup!$C$8,IF(AND(D377=\"Yes\",E377<C377),Lookup!$C$9,IF(AND(D377=\"No\",E377<C377),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},59.17,null,null,{"$f":"IF(ISNUMBER(G377),IF(OR(AND(ISBLANK(H377),ISBLANK(I377)),AND(H377=\"No\",ISBLANK(I377))),\"\",IF(AND(ISBLANK(H377),ISNUMBER(I377)),Lookup!$C$11,IF(AND(H377=\"Yes\",ISBLANK(I377)),Lookup!$C$12,IF(AND(H377=\"Yes\",I377>=G377),Lookup!$C$7,IF(AND(H377=\"No\",I377>=G377),Lookup!$C$8,IF(AND(H377=\"Yes\",I377<G377),Lookup!$C$9,IF(AND(H377=\"No\",I377<G377),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,55.91,null,{"$f":"IF(ISNUMBER(L377),IF(ISBLANK(M377),\"\",IF(M377>=L377,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},55.91,null,{"$f":"IF(ISNUMBER(O377),IF(ISBLANK(P377),\"\",IF(P377>=O377,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99495,"Trans Care Mgmt 14 Day Disch",206.38,null,null,{"$f":"IF(ISNUMBER(C378),IF(OR(AND(ISBLANK(D378),ISBLANK(E378)),AND(D378=\"No\",ISBLANK(E378))),\"\",IF(AND(ISBLANK(D378),ISNUMBER(E378)),Lookup!$C$11,IF(AND(D378=\"Yes\",ISBLANK(E378)),Lookup!$C$12,IF(AND(D378=\"Yes\",E378>=C378),Lookup!$C$7,IF(AND(D378=\"No\",E378>=C378),Lookup!$C$8,IF(AND(D378=\"Yes\",E378<C378),Lookup!$C$9,IF(AND(D378=\"No\",E378<C378),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},206.38,null,null,{"$f":"IF(ISNUMBER(G378),IF(OR(AND(ISBLANK(H378),ISBLANK(I378)),AND(H378=\"No\",ISBLANK(I378))),\"\",IF(AND(ISBLANK(H378),ISNUMBER(I378)),Lookup!$C$11,IF(AND(H378=\"Yes\",ISBLANK(I378)),Lookup!$C$12,IF(AND(H378=\"Yes\",I378>=G378),Lookup!$C$7,IF(AND(H378=\"No\",I378>=G378),Lookup!$C$8,IF(AND(H378=\"Yes\",I378<G378),Lookup!$C$9,IF(AND(H378=\"No\",I378<G378),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,200.88,null,{"$f":"IF(ISNUMBER(L378),IF(ISBLANK(M378),\"\",IF(M378>=L378,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},200.88,null,{"$f":"IF(ISNUMBER(O378),IF(ISBLANK(P378),\"\",IF(P378>=O378,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99496,"Trans Care Mgmt 7 Day Disch",279.18,null,null,{"$f":"IF(ISNUMBER(C379),IF(OR(AND(ISBLANK(D379),ISBLANK(E379)),AND(D379=\"No\",ISBLANK(E379))),\"\",IF(AND(ISBLANK(D379),ISNUMBER(E379)),Lookup!$C$11,IF(AND(D379=\"Yes\",ISBLANK(E379)),Lookup!$C$12,IF(AND(D379=\"Yes\",E379>=C379),Lookup!$C$7,IF(AND(D379=\"No\",E379>=C379),Lookup!$C$8,IF(AND(D379=\"Yes\",E379<C379),Lookup!$C$9,IF(AND(D379=\"No\",E379<C379),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},279.18,null,null,{"$f":"IF(ISNUMBER(G379),IF(OR(AND(ISBLANK(H379),ISBLANK(I379)),AND(H379=\"No\",ISBLANK(I379))),\"\",IF(AND(ISBLANK(H379),ISNUMBER(I379)),Lookup!$C$11,IF(AND(H379=\"Yes\",ISBLANK(I379)),Lookup!$C$12,IF(AND(H379=\"Yes\",I379>=G379),Lookup!$C$7,IF(AND(H379=\"No\",I379>=G379),Lookup!$C$8,IF(AND(H379=\"Yes\",I379<G379),Lookup!$C$9,IF(AND(H379=\"No\",I379<G379),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,272.25,null,{"$f":"IF(ISNUMBER(L379),IF(ISBLANK(M379),\"\",IF(M379>=L379,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},272.25,null,{"$f":"IF(ISNUMBER(O379),IF(ISBLANK(P379),\"\",IF(P379>=O379,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99497,"Advncd Care Plan 30 Min",81.94,null,null,{"$f":"IF(ISNUMBER(C380),IF(OR(AND(ISBLANK(D380),ISBLANK(E380)),AND(D380=\"No\",ISBLANK(E380))),\"\",IF(AND(ISBLANK(D380),ISNUMBER(E380)),Lookup!$C$11,IF(AND(D380=\"Yes\",ISBLANK(E380)),Lookup!$C$12,IF(AND(D380=\"Yes\",E380>=C380),Lookup!$C$7,IF(AND(D380=\"No\",E380>=C380),Lookup!$C$8,IF(AND(D380=\"Yes\",E380<C380),Lookup!$C$9,IF(AND(D380=\"No\",E380<C380),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},81.94,null,null,{"$f":"IF(ISNUMBER(G380),IF(OR(AND(ISBLANK(H380),ISBLANK(I380)),AND(H380=\"No\",ISBLANK(I380))),\"\",IF(AND(ISBLANK(H380),ISNUMBER(I380)),Lookup!$C$11,IF(AND(H380=\"Yes\",ISBLANK(I380)),Lookup!$C$12,IF(AND(H380=\"Yes\",I380>=G380),Lookup!$C$7,IF(AND(H380=\"No\",I380>=G380),Lookup!$C$8,IF(AND(H380=\"Yes\",I380<G380),Lookup!$C$9,IF(AND(H380=\"No\",I380<G380),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,79.62,null,{"$f":"IF(ISNUMBER(L380),IF(ISBLANK(M380),\"\",IF(M380>=L380,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},79.62,null,{"$f":"IF(ISNUMBER(O380),IF(ISBLANK(P380),\"\",IF(P380>=O380,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99498,"Advncd Care Plan Addl 30 Min",70.98,null,null,{"$f":"IF(ISNUMBER(C381),IF(OR(AND(ISBLANK(D381),ISBLANK(E381)),AND(D381=\"No\",ISBLANK(E381))),\"\",IF(AND(ISBLANK(D381),ISNUMBER(E381)),Lookup!$C$11,IF(AND(D381=\"Yes\",ISBLANK(E381)),Lookup!$C$12,IF(AND(D381=\"Yes\",E381>=C381),Lookup!$C$7,IF(AND(D381=\"No\",E381>=C381),Lookup!$C$8,IF(AND(D381=\"Yes\",E381<C381),Lookup!$C$9,IF(AND(D381=\"No\",E381<C381),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},70.98,null,null,{"$f":"IF(ISNUMBER(G381),IF(OR(AND(ISBLANK(H381),ISBLANK(I381)),AND(H381=\"No\",ISBLANK(I381))),\"\",IF(AND(ISBLANK(H381),ISNUMBER(I381)),Lookup!$C$11,IF(AND(H381=\"Yes\",ISBLANK(I381)),Lookup!$C$12,IF(AND(H381=\"Yes\",I381>=G381),Lookup!$C$7,IF(AND(H381=\"No\",I381>=G381),Lookup!$C$8,IF(AND(H381=\"Yes\",I381<G381),Lookup!$C$9,IF(AND(H381=\"No\",I381<G381),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,68.98,null,{"$f":"IF(ISNUMBER(L381),IF(ISBLANK(M381),\"\",IF(M381>=L381,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},68.98,null,{"$f":"IF(ISNUMBER(O381),IF(ISBLANK(P381),\"\",IF(P381>=O381,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
[99499,"Unlisted E&M Service ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(#REF!),IF(OR(AND(ISBLANK(D382),ISBLANK(E382)),AND(D382=\"No\",ISBLANK(E382))),\"\",IF(AND(ISBLANK(D382),ISNUMBER(E382)),Lookup!$C$11,IF(AND(D382=\"Yes\",ISBLANK(E382)),Lookup!$C$12,IF(AND(D382=\"Yes\",E382>=#REF!),Lookup!$C$7,IF(AND(D382=\"No\",E382>=#REF!),Lookup!$C$8,IF(AND(D382=\"Yes\",E382<#REF!),Lookup!$C$9,IF(AND(D382=\"No\",E382<#REF!),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G382),IF(OR(AND(ISBLANK(H382),ISBLANK(I382)),AND(H382=\"No\",ISBLANK(I382))),\"\",IF(AND(ISBLANK(H382),ISNUMBER(I382)),Lookup!$C$11,IF(AND(H382=\"Yes\",ISBLANK(I382)),Lookup!$C$12,IF(AND(H382=\"Yes\",I382>=G382),Lookup!$C$7,IF(AND(H382=\"No\",I382>=G382),Lookup!$C$8,IF(AND(H382=\"Yes\",I382<G382),Lookup!$C$9,IF(AND(H382=\"No\",I382<G382),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L382),IF(ISBLANK(M382),\"\",IF(M382>=L382,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O382),IF(ISBLANK(P382),\"\",IF(P382>=O382,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99502,"Home Visit For Newborn Care And Assessment","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C383),IF(OR(AND(ISBLANK(D383),ISBLANK(E383)),AND(D383=\"No\",ISBLANK(E383))),\"\",IF(AND(ISBLANK(D383),ISNUMBER(E383)),Lookup!$C$11,IF(AND(D383=\"Yes\",ISBLANK(E383)),Lookup!$C$12,IF(AND(D383=\"Yes\",E383>=C383),Lookup!$C$7,IF(AND(D383=\"No\",E383>=C383),Lookup!$C$8,IF(AND(D383=\"Yes\",E383<C383),Lookup!$C$9,IF(AND(D383=\"No\",E383<C383),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G383),IF(OR(AND(ISBLANK(H383),ISBLANK(I383)),AND(H383=\"No\",ISBLANK(I383))),\"\",IF(AND(ISBLANK(H383),ISNUMBER(I383)),Lookup!$C$11,IF(AND(H383=\"Yes\",ISBLANK(I383)),Lookup!$C$12,IF(AND(H383=\"Yes\",I383>=G383),Lookup!$C$7,IF(AND(H383=\"No\",I383>=G383),Lookup!$C$8,IF(AND(H383=\"Yes\",I383<G383),Lookup!$C$9,IF(AND(H383=\"No\",I383<G383),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L383),IF(ISBLANK(M383),\"\",IF(M383>=L383,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O383),IF(ISBLANK(P383),\"\",IF(P383>=O383,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
[99506,"Home Visit For Intramuscular Injections","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C384),IF(OR(AND(ISBLANK(D384),ISBLANK(E384)),AND(D384=\"No\",ISBLANK(E384))),\"\",IF(AND(ISBLANK(D384),ISNUMBER(E384)),Lookup!$C$11,IF(AND(D384=\"Yes\",ISBLANK(E384)),Lookup!$C$12,IF(AND(D384=\"Yes\",E384>=C384),Lookup!$C$7,IF(AND(D384=\"No\",E384>=C384),Lookup!$C$8,IF(AND(D384=\"Yes\",E384<C384),Lookup!$C$9,IF(AND(D384=\"No\",E384<C384),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G384),IF(OR(AND(ISBLANK(H384),ISBLANK(I384)),AND(H384=\"No\",ISBLANK(I384))),\"\",IF(AND(ISBLANK(H384),ISNUMBER(I384)),Lookup!$C$11,IF(AND(H384=\"Yes\",ISBLANK(I384)),Lookup!$C$12,IF(AND(H384=\"Yes\",I384>=G384),Lookup!$C$7,IF(AND(H384=\"No\",I384>=G384),Lookup!$C$8,IF(AND(H384=\"Yes\",I384<G384),Lookup!$C$9,IF(AND(H384=\"No\",I384<G384),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L384),IF(ISBLANK(M384),\"\",IF(M384>=L384,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O384),IF(ISBLANK(P384),\"\",IF(P384>=O384,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["1000F","Tobacco Use Assessed","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C385),IF(OR(AND(ISBLANK(D385),ISBLANK(E385)),AND(D385=\"No\",ISBLANK(E385))),\"\",IF(AND(ISBLANK(D385),ISNUMBER(E385)),Lookup!$C$11,IF(AND(D385=\"Yes\",ISBLANK(E385)),Lookup!$C$12,IF(AND(D385=\"Yes\",E385>=C385),Lookup!$C$7,IF(AND(D385=\"No\",E385>=C385),Lookup!$C$8,IF(AND(D385=\"Yes\",E385<C385),Lookup!$C$9,IF(AND(D385=\"No\",E385<C385),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G385),IF(OR(AND(ISBLANK(H385),ISBLANK(I385)),AND(H385=\"No\",ISBLANK(I385))),\"\",IF(AND(ISBLANK(H385),ISNUMBER(I385)),Lookup!$C$11,IF(AND(H385=\"Yes\",ISBLANK(I385)),Lookup!$C$12,IF(AND(H385=\"Yes\",I385>=G385),Lookup!$C$7,IF(AND(H385=\"No\",I385>=G385),Lookup!$C$8,IF(AND(H385=\"Yes\",I385<G385),Lookup!$C$9,IF(AND(H385=\"No\",I385<G385),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L385),IF(ISBLANK(M385),\"\",IF(M385>=L385,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O385),IF(ISBLANK(P385),\"\",IF(P385>=O385,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["1220F","Pt Screened For Depression","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C386),IF(OR(AND(ISBLANK(D386),ISBLANK(E386)),AND(D386=\"No\",ISBLANK(E386))),\"\",IF(AND(ISBLANK(D386),ISNUMBER(E386)),Lookup!$C$11,IF(AND(D386=\"Yes\",ISBLANK(E386)),Lookup!$C$12,IF(AND(D386=\"Yes\",E386>=C386),Lookup!$C$7,IF(AND(D386=\"No\",E386>=C386),Lookup!$C$8,IF(AND(D386=\"Yes\",E386<C386),Lookup!$C$9,IF(AND(D386=\"No\",E386<C386),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G386),IF(OR(AND(ISBLANK(H386),ISBLANK(I386)),AND(H386=\"No\",ISBLANK(I386))),\"\",IF(AND(ISBLANK(H386),ISNUMBER(I386)),Lookup!$C$11,IF(AND(H386=\"Yes\",ISBLANK(I386)),Lookup!$C$12,IF(AND(H386=\"Yes\",I386>=G386),Lookup!$C$7,IF(AND(H386=\"No\",I386>=G386),Lookup!$C$8,IF(AND(H386=\"Yes\",I386<G386),Lookup!$C$9,IF(AND(H386=\"No\",I386<G386),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L386),IF(ISBLANK(M386),\"\",IF(M386>=L386,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O386),IF(ISBLANK(P386),\"\",IF(P386>=O386,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["3016F","Pt Screened For Unhlthy Alcohol Use","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C387),IF(OR(AND(ISBLANK(D387),ISBLANK(E387)),AND(D387=\"No\",ISBLANK(E387))),\"\",IF(AND(ISBLANK(D387),ISNUMBER(E387)),Lookup!$C$11,IF(AND(D387=\"Yes\",ISBLANK(E387)),Lookup!$C$12,IF(AND(D387=\"Yes\",E387>=C387),Lookup!$C$7,IF(AND(D387=\"No\",E387>=C387),Lookup!$C$8,IF(AND(D387=\"Yes\",E387<C387),Lookup!$C$9,IF(AND(D387=\"No\",E387<C387),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G387),IF(OR(AND(ISBLANK(H387),ISBLANK(I387)),AND(H387=\"No\",ISBLANK(I387))),\"\",IF(AND(ISBLANK(H387),ISNUMBER(I387)),Lookup!$C$11,IF(AND(H387=\"Yes\",ISBLANK(I387)),Lookup!$C$12,IF(AND(H387=\"Yes\",I387>=G387),Lookup!$C$7,IF(AND(H387=\"No\",I387>=G387),Lookup!$C$8,IF(AND(H387=\"Yes\",I387<G387),Lookup!$C$9,IF(AND(H387=\"No\",I387<G387),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L387),IF(ISBLANK(M387),\"\",IF(M387>=L387,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O387),IF(ISBLANK(P387),\"\",IF(P387>=O387,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["3085F","Suicide Risk Assessed","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C388),IF(OR(AND(ISBLANK(D388),ISBLANK(E388)),AND(D388=\"No\",ISBLANK(E388))),\"\",IF(AND(ISBLANK(D388),ISNUMBER(E388)),Lookup!$C$11,IF(AND(D388=\"Yes\",ISBLANK(E388)),Lookup!$C$12,IF(AND(D388=\"Yes\",E388>=C388),Lookup!$C$7,IF(AND(D388=\"No\",E388>=C388),Lookup!$C$8,IF(AND(D388=\"Yes\",E388<C388),Lookup!$C$9,IF(AND(D388=\"No\",E388<C388),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G388),IF(OR(AND(ISBLANK(H388),ISBLANK(I388)),AND(H388=\"No\",ISBLANK(I388))),\"\",IF(AND(ISBLANK(H388),ISNUMBER(I388)),Lookup!$C$11,IF(AND(H388=\"Yes\",ISBLANK(I388)),Lookup!$C$12,IF(AND(H388=\"Yes\",I388>=G388),Lookup!$C$7,IF(AND(H388=\"No\",I388>=G388),Lookup!$C$8,IF(AND(H388=\"Yes\",I388<G388),Lookup!$C$9,IF(AND(H388=\"No\",I388<G388),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L388),IF(ISBLANK(M388),\"\",IF(M388>=L388,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O388),IF(ISBLANK(P388),\"\",IF(P388>=O388,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["4004F","Pt Tobacco Screen And Cessation Intervention","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C389),IF(OR(AND(ISBLANK(D389),ISBLANK(E389)),AND(D389=\"No\",ISBLANK(E389))),\"\",IF(AND(ISBLANK(D389),ISNUMBER(E389)),Lookup!$C$11,IF(AND(D389=\"Yes\",ISBLANK(E389)),Lookup!$C$12,IF(AND(D389=\"Yes\",E389>=C389),Lookup!$C$7,IF(AND(D389=\"No\",E389>=C389),Lookup!$C$8,IF(AND(D389=\"Yes\",E389<C389),Lookup!$C$9,IF(AND(D389=\"No\",E389<C389),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G389),IF(OR(AND(ISBLANK(H389),ISBLANK(I389)),AND(H389=\"No\",ISBLANK(I389))),\"\",IF(AND(ISBLANK(H389),ISNUMBER(I389)),Lookup!$C$11,IF(AND(H389=\"Yes\",ISBLANK(I389)),Lookup!$C$12,IF(AND(H389=\"Yes\",I389>=G389),Lookup!$C$7,IF(AND(H389=\"No\",I389>=G389),Lookup!$C$8,IF(AND(H389=\"Yes\",I389<G389),Lookup!$C$9,IF(AND(H389=\"No\",I389<G389),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L389),IF(ISBLANK(M389),\"\",IF(M389>=L389,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O389),IF(ISBLANK(P389),\"\",IF(P389>=O389,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["4290F","Pt Screened For Injection Drug Use (Hiv)","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C390),IF(OR(AND(ISBLANK(D390),ISBLANK(E390)),AND(D390=\"No\",ISBLANK(E390))),\"\",IF(AND(ISBLANK(D390),ISNUMBER(E390)),Lookup!$C$11,IF(AND(D390=\"Yes\",ISBLANK(E390)),Lookup!$C$12,IF(AND(D390=\"Yes\",E390>=C390),Lookup!$C$7,IF(AND(D390=\"No\",E390>=C390),Lookup!$C$8,IF(AND(D390=\"Yes\",E390<C390),Lookup!$C$9,IF(AND(D390=\"No\",E390<C390),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G390),IF(OR(AND(ISBLANK(H390),ISBLANK(I390)),AND(H390=\"No\",ISBLANK(I390))),\"\",IF(AND(ISBLANK(H390),ISNUMBER(I390)),Lookup!$C$11,IF(AND(H390=\"Yes\",ISBLANK(I390)),Lookup!$C$12,IF(AND(H390=\"Yes\",I390>=G390),Lookup!$C$7,IF(AND(H390=\"No\",I390>=G390),Lookup!$C$8,IF(AND(H390=\"Yes\",I390<G390),Lookup!$C$9,IF(AND(H390=\"No\",I390<G390),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L390),IF(ISBLANK(M390),\"\",IF(M390>=L390,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O390),IF(ISBLANK(P390),\"\",IF(P390>=O390,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["4293F","Pt Screened For High Risk Sexual Behavior (Hiv)","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C391),IF(OR(AND(ISBLANK(D391),ISBLANK(E391)),AND(D391=\"No\",ISBLANK(E391))),\"\",IF(AND(ISBLANK(D391),ISNUMBER(E391)),Lookup!$C$11,IF(AND(D391=\"Yes\",ISBLANK(E391)),Lookup!$C$12,IF(AND(D391=\"Yes\",E391>=C391),Lookup!$C$7,IF(AND(D391=\"No\",E391>=C391),Lookup!$C$8,IF(AND(D391=\"Yes\",E391<C391),Lookup!$C$9,IF(AND(D391=\"No\",E391<C391),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G391),IF(OR(AND(ISBLANK(H391),ISBLANK(I391)),AND(H391=\"No\",ISBLANK(I391))),\"\",IF(AND(ISBLANK(H391),ISNUMBER(I391)),Lookup!$C$11,IF(AND(H391=\"Yes\",ISBLANK(I391)),Lookup!$C$12,IF(AND(H391=\"Yes\",I391>=G391),Lookup!$C$7,IF(AND(H391=\"No\",I391>=G391),Lookup!$C$8,IF(AND(H391=\"Yes\",I391<G391),Lookup!$C$9,IF(AND(H391=\"No\",I391<G391),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L391),IF(ISBLANK(M391),\"\",IF(M391>=L391,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O391),IF(ISBLANK(P391),\"\",IF(P391>=O391,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0008","Admin Influenza Virus Vaccine","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C392),IF(OR(AND(ISBLANK(D392),ISBLANK(E392)),AND(D392=\"No\",ISBLANK(E392))),\"\",IF(AND(ISBLANK(D392),ISNUMBER(E392)),Lookup!$C$11,IF(AND(D392=\"Yes\",ISBLANK(E392)),Lookup!$C$12,IF(AND(D392=\"Yes\",E392>=C392),Lookup!$C$7,IF(AND(D392=\"No\",E392>=C392),Lookup!$C$8,IF(AND(D392=\"Yes\",E392<C392),Lookup!$C$9,IF(AND(D392=\"No\",E392<C392),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G392),IF(OR(AND(ISBLANK(H392),ISBLANK(I392)),AND(H392=\"No\",ISBLANK(I392))),\"\",IF(AND(ISBLANK(H392),ISNUMBER(I392)),Lookup!$C$11,IF(AND(H392=\"Yes\",ISBLANK(I392)),Lookup!$C$12,IF(AND(H392=\"Yes\",I392>=G392),Lookup!$C$7,IF(AND(H392=\"No\",I392>=G392),Lookup!$C$8,IF(AND(H392=\"Yes\",I392<G392),Lookup!$C$9,IF(AND(H392=\"No\",I392<G392),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L392),IF(ISBLANK(M392),\"\",IF(M392>=L392,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O392),IF(ISBLANK(P392),\"\",IF(P392>=O392,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0009","Admin Pneumococcal Vaccine","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C393),IF(OR(AND(ISBLANK(D393),ISBLANK(E393)),AND(D393=\"No\",ISBLANK(E393))),\"\",IF(AND(ISBLANK(D393),ISNUMBER(E393)),Lookup!$C$11,IF(AND(D393=\"Yes\",ISBLANK(E393)),Lookup!$C$12,IF(AND(D393=\"Yes\",E393>=C393),Lookup!$C$7,IF(AND(D393=\"No\",E393>=C393),Lookup!$C$8,IF(AND(D393=\"Yes\",E393<C393),Lookup!$C$9,IF(AND(D393=\"No\",E393<C393),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G393),IF(OR(AND(ISBLANK(H393),ISBLANK(I393)),AND(H393=\"No\",ISBLANK(I393))),\"\",IF(AND(ISBLANK(H393),ISNUMBER(I393)),Lookup!$C$11,IF(AND(H393=\"Yes\",ISBLANK(I393)),Lookup!$C$12,IF(AND(H393=\"Yes\",I393>=G393),Lookup!$C$7,IF(AND(H393=\"No\",I393>=G393),Lookup!$C$8,IF(AND(H393=\"Yes\",I393<G393),Lookup!$C$9,IF(AND(H393=\"No\",I393<G393),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L393),IF(ISBLANK(M393),\"\",IF(M393>=L393,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O393),IF(ISBLANK(P393),\"\",IF(P393>=O393,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0010","Admin Hepatitis B Vaccine","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C394),IF(OR(AND(ISBLANK(D394),ISBLANK(E394)),AND(D394=\"No\",ISBLANK(E394))),\"\",IF(AND(ISBLANK(D394),ISNUMBER(E394)),Lookup!$C$11,IF(AND(D394=\"Yes\",ISBLANK(E394)),Lookup!$C$12,IF(AND(D394=\"Yes\",E394>=C394),Lookup!$C$7,IF(AND(D394=\"No\",E394>=C394),Lookup!$C$8,IF(AND(D394=\"Yes\",E394<C394),Lookup!$C$9,IF(AND(D394=\"No\",E394<C394),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G394),IF(OR(AND(ISBLANK(H394),ISBLANK(I394)),AND(H394=\"No\",ISBLANK(I394))),\"\",IF(AND(ISBLANK(H394),ISNUMBER(I394)),Lookup!$C$11,IF(AND(H394=\"Yes\",ISBLANK(I394)),Lookup!$C$12,IF(AND(H394=\"Yes\",I394>=G394),Lookup!$C$7,IF(AND(H394=\"No\",I394>=G394),Lookup!$C$8,IF(AND(H394=\"Yes\",I394<G394),Lookup!$C$9,IF(AND(H394=\"No\",I394<G394),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L394),IF(ISBLANK(M394),\"\",IF(M394>=L394,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O394),IF(ISBLANK(P394),\"\",IF(P394>=O394,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0019","Comm hlth intg svs sdoh 60mn",80.38,null,null,{"$f":"IF(ISNUMBER(C395),IF(OR(AND(ISBLANK(D395),ISBLANK(E395)),AND(D395=\"No\",ISBLANK(E395))),\"\",IF(AND(ISBLANK(D395),ISNUMBER(E395)),Lookup!$C$11,IF(AND(D395=\"Yes\",ISBLANK(E395)),Lookup!$C$12,IF(AND(D395=\"Yes\",E395>=C395),Lookup!$C$7,IF(AND(D395=\"No\",E395>=C395),Lookup!$C$8,IF(AND(D395=\"Yes\",E395<C395),Lookup!$C$9,IF(AND(D395=\"No\",E395<C395),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},80.38,null,null,{"$f":"IF(ISNUMBER(G395),IF(OR(AND(ISBLANK(H395),ISBLANK(I395)),AND(H395=\"No\",ISBLANK(I395))),\"\",IF(AND(ISBLANK(H395),ISNUMBER(I395)),Lookup!$C$11,IF(AND(H395=\"Yes\",ISBLANK(I395)),Lookup!$C$12,IF(AND(H395=\"Yes\",I395>=G395),Lookup!$C$7,IF(AND(H395=\"No\",I395>=G395),Lookup!$C$8,IF(AND(H395=\"Yes\",I395<G395),Lookup!$C$9,IF(AND(H395=\"No\",I395<G395),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,77.8,null,{"$f":"IF(ISNUMBER(L395),IF(ISBLANK(M395),\"\",IF(M395>=L395,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},77.8,null,{"$f":"IF(ISNUMBER(O395),IF(ISBLANK(P395),\"\",IF(P395>=O395,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0022","Comm hlth intg svs add 30 m",50.19,null,null,{"$f":"IF(ISNUMBER(C396),IF(OR(AND(ISBLANK(D396),ISBLANK(E396)),AND(D396=\"No\",ISBLANK(E396))),\"\",IF(AND(ISBLANK(D396),ISNUMBER(E396)),Lookup!$C$11,IF(AND(D396=\"Yes\",ISBLANK(E396)),Lookup!$C$12,IF(AND(D396=\"Yes\",E396>=C396),Lookup!$C$7,IF(AND(D396=\"No\",E396>=C396),Lookup!$C$8,IF(AND(D396=\"Yes\",E396<C396),Lookup!$C$9,IF(AND(D396=\"No\",E396<C396),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},50.19,null,null,{"$f":"IF(ISNUMBER(G396),IF(OR(AND(ISBLANK(H396),ISBLANK(I396)),AND(H396=\"No\",ISBLANK(I396))),\"\",IF(AND(ISBLANK(H396),ISNUMBER(I396)),Lookup!$C$11,IF(AND(H396=\"Yes\",ISBLANK(I396)),Lookup!$C$12,IF(AND(H396=\"Yes\",I396>=G396),Lookup!$C$7,IF(AND(H396=\"No\",I396>=G396),Lookup!$C$8,IF(AND(H396=\"Yes\",I396<G396),Lookup!$C$9,IF(AND(H396=\"No\",I396<G396),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,48.46,null,{"$f":"IF(ISNUMBER(L396),IF(ISBLANK(M396),\"\",IF(M396>=L396,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},48.46,null,{"$f":"IF(ISNUMBER(O396),IF(ISBLANK(P396),\"\",IF(P396>=O396,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0023","Pin service 60m per month",80.38,null,null,{"$f":"IF(ISNUMBER(C397),IF(OR(AND(ISBLANK(D397),ISBLANK(E397)),AND(D397=\"No\",ISBLANK(E397))),\"\",IF(AND(ISBLANK(D397),ISNUMBER(E397)),Lookup!$C$11,IF(AND(D397=\"Yes\",ISBLANK(E397)),Lookup!$C$12,IF(AND(D397=\"Yes\",E397>=C397),Lookup!$C$7,IF(AND(D397=\"No\",E397>=C397),Lookup!$C$8,IF(AND(D397=\"Yes\",E397<C397),Lookup!$C$9,IF(AND(D397=\"No\",E397<C397),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},80.38,null,null,{"$f":"IF(ISNUMBER(G397),IF(OR(AND(ISBLANK(H397),ISBLANK(I397)),AND(H397=\"No\",ISBLANK(I397))),\"\",IF(AND(ISBLANK(H397),ISNUMBER(I397)),Lookup!$C$11,IF(AND(H397=\"Yes\",ISBLANK(I397)),Lookup!$C$12,IF(AND(H397=\"Yes\",I397>=G397),Lookup!$C$7,IF(AND(H397=\"No\",I397>=G397),Lookup!$C$8,IF(AND(H397=\"Yes\",I397<G397),Lookup!$C$9,IF(AND(H397=\"No\",I397<G397),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,77.8,null,{"$f":"IF(ISNUMBER(L397),IF(ISBLANK(M397),\"\",IF(M397>=L397,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},77.8,null,{"$f":"IF(ISNUMBER(O397),IF(ISBLANK(P397),\"\",IF(P397>=O397,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0024","Pin srv add 30 min pr m",50.19,null,null,{"$f":"IF(ISNUMBER(C398),IF(OR(AND(ISBLANK(D398),ISBLANK(E398)),AND(D398=\"No\",ISBLANK(E398))),\"\",IF(AND(ISBLANK(D398),ISNUMBER(E398)),Lookup!$C$11,IF(AND(D398=\"Yes\",ISBLANK(E398)),Lookup!$C$12,IF(AND(D398=\"Yes\",E398>=C398),Lookup!$C$7,IF(AND(D398=\"No\",E398>=C398),Lookup!$C$8,IF(AND(D398=\"Yes\",E398<C398),Lookup!$C$9,IF(AND(D398=\"No\",E398<C398),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},50.19,null,null,{"$f":"IF(ISNUMBER(G398),IF(OR(AND(ISBLANK(H398),ISBLANK(I398)),AND(H398=\"No\",ISBLANK(I398))),\"\",IF(AND(ISBLANK(H398),ISNUMBER(I398)),Lookup!$C$11,IF(AND(H398=\"Yes\",ISBLANK(I398)),Lookup!$C$12,IF(AND(H398=\"Yes\",I398>=G398),Lookup!$C$7,IF(AND(H398=\"No\",I398>=G398),Lookup!$C$8,IF(AND(H398=\"Yes\",I398<G398),Lookup!$C$9,IF(AND(H398=\"No\",I398<G398),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,48.46,null,{"$f":"IF(ISNUMBER(L398),IF(ISBLANK(M398),\"\",IF(M398>=L398,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},48.46,null,{"$f":"IF(ISNUMBER(O398),IF(ISBLANK(P398),\"\",IF(P398>=O398,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
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["G0323","Care manage beh svs 20mins",54.93,null,null,{"$f":"IF(ISNUMBER(C408),IF(OR(AND(ISBLANK(D408),ISBLANK(E408)),AND(D408=\"No\",ISBLANK(E408))),\"\",IF(AND(ISBLANK(D408),ISNUMBER(E408)),Lookup!$C$11,IF(AND(D408=\"Yes\",ISBLANK(E408)),Lookup!$C$12,IF(AND(D408=\"Yes\",E408>=C408),Lookup!$C$7,IF(AND(D408=\"No\",E408>=C408),Lookup!$C$8,IF(AND(D408=\"Yes\",E408<C408),Lookup!$C$9,IF(AND(D408=\"No\",E408<C408),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},54.93,null,null,{"$f":"IF(ISNUMBER(G408),IF(OR(AND(ISBLANK(H408),ISBLANK(I408)),AND(H408=\"No\",ISBLANK(I408))),\"\",IF(AND(ISBLANK(H408),ISNUMBER(I408)),Lookup!$C$11,IF(AND(H408=\"Yes\",ISBLANK(I408)),Lookup!$C$12,IF(AND(H408=\"Yes\",I408>=G408),Lookup!$C$7,IF(AND(H408=\"No\",I408>=G408),Lookup!$C$8,IF(AND(H408=\"Yes\",I408<G408),Lookup!$C$9,IF(AND(H408=\"No\",I408<G408),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,53.72,null,{"$f":"IF(ISNUMBER(L408),IF(ISBLANK(M408),\"\",IF(M408>=L408,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},53.72,null,{"$f":"IF(ISNUMBER(O408),IF(ISBLANK(P408),\"\",IF(P408>=O408,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0396","Alcohol/Subs Misuse Intervention 15-30 Min",34.31,null,null,{"$f":"IF(ISNUMBER(C409),IF(OR(AND(ISBLANK(D409),ISBLANK(E409)),AND(D409=\"No\",ISBLANK(E409))),\"\",IF(AND(ISBLANK(D409),ISNUMBER(E409)),Lookup!$C$11,IF(AND(D409=\"Yes\",ISBLANK(E409)),Lookup!$C$12,IF(AND(D409=\"Yes\",E409>=C409),Lookup!$C$7,IF(AND(D409=\"No\",E409>=C409),Lookup!$C$8,IF(AND(D409=\"Yes\",E409<C409),Lookup!$C$9,IF(AND(D409=\"No\",E409<C409),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},34.31,null,null,{"$f":"IF(ISNUMBER(G409),IF(OR(AND(ISBLANK(H409),ISBLANK(I409)),AND(H409=\"No\",ISBLANK(I409))),\"\",IF(AND(ISBLANK(H409),ISNUMBER(I409)),Lookup!$C$11,IF(AND(H409=\"Yes\",ISBLANK(I409)),Lookup!$C$12,IF(AND(H409=\"Yes\",I409>=G409),Lookup!$C$7,IF(AND(H409=\"No\",I409>=G409),Lookup!$C$8,IF(AND(H409=\"Yes\",I409<G409),Lookup!$C$9,IF(AND(H409=\"No\",I409<G409),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,33.659999999999997,null,{"$f":"IF(ISNUMBER(L409),IF(ISBLANK(M409),\"\",IF(M409>=L409,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},33.659999999999997,null,{"$f":"IF(ISNUMBER(O409),IF(ISBLANK(P409),\"\",IF(P409>=O409,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0397","Alcohol/Subs Misuse Intervention 30 Min <",66.61,null,null,{"$f":"IF(ISNUMBER(C410),IF(OR(AND(ISBLANK(D410),ISBLANK(E410)),AND(D410=\"No\",ISBLANK(E410))),\"\",IF(AND(ISBLANK(D410),ISNUMBER(E410)),Lookup!$C$11,IF(AND(D410=\"Yes\",ISBLANK(E410)),Lookup!$C$12,IF(AND(D410=\"Yes\",E410>=C410),Lookup!$C$7,IF(AND(D410=\"No\",E410>=C410),Lookup!$C$8,IF(AND(D410=\"Yes\",E410<C410),Lookup!$C$9,IF(AND(D410=\"No\",E410<C410),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},66.61,null,null,{"$f":"IF(ISNUMBER(G410),IF(OR(AND(ISBLANK(H410),ISBLANK(I410)),AND(H410=\"No\",ISBLANK(I410))),\"\",IF(AND(ISBLANK(H410),ISNUMBER(I410)),Lookup!$C$11,IF(AND(H410=\"Yes\",ISBLANK(I410)),Lookup!$C$12,IF(AND(H410=\"Yes\",I410>=G410),Lookup!$C$7,IF(AND(H410=\"No\",I410>=G410),Lookup!$C$8,IF(AND(H410=\"Yes\",I410<G410),Lookup!$C$9,IF(AND(H410=\"No\",I410<G410),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,62.87,null,{"$f":"IF(ISNUMBER(L410),IF(ISBLANK(M410),\"\",IF(M410>=L410,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},62.87,null,{"$f":"IF(ISNUMBER(O410),IF(ISBLANK(P410),\"\",IF(P410>=O410,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0402","Welcome to Medicare visit",165.67,null,null,{"$f":"IF(ISNUMBER(C411),IF(OR(AND(ISBLANK(D411),ISBLANK(E411)),AND(D411=\"No\",ISBLANK(E411))),\"\",IF(AND(ISBLANK(D411),ISNUMBER(E411)),Lookup!$C$11,IF(AND(D411=\"Yes\",ISBLANK(E411)),Lookup!$C$12,IF(AND(D411=\"Yes\",E411>=C411),Lookup!$C$7,IF(AND(D411=\"No\",E411>=C411),Lookup!$C$8,IF(AND(D411=\"Yes\",E411<C411),Lookup!$C$9,IF(AND(D411=\"No\",E411<C411),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},165.67,null,null,{"$f":"IF(ISNUMBER(G411),IF(OR(AND(ISBLANK(H411),ISBLANK(I411)),AND(H411=\"No\",ISBLANK(I411))),\"\",IF(AND(ISBLANK(H411),ISNUMBER(I411)),Lookup!$C$11,IF(AND(H411=\"Yes\",ISBLANK(I411)),Lookup!$C$12,IF(AND(H411=\"Yes\",I411>=G411),Lookup!$C$7,IF(AND(H411=\"No\",I411>=G411),Lookup!$C$8,IF(AND(H411=\"Yes\",I411<G411),Lookup!$C$9,IF(AND(H411=\"No\",I411<G411),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,160.68,null,{"$f":"IF(ISNUMBER(L411),IF(ISBLANK(M411),\"\",IF(M411>=L411,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},160.68,null,{"$f":"IF(ISNUMBER(O411),IF(ISBLANK(P411),\"\",IF(P411>=O411,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0403","Ekg For Initial Prevent Exam",14.27,null,null,{"$f":"IF(ISNUMBER(C412),IF(OR(AND(ISBLANK(D412),ISBLANK(E412)),AND(D412=\"No\",ISBLANK(E412))),\"\",IF(AND(ISBLANK(D412),ISNUMBER(E412)),Lookup!$C$11,IF(AND(D412=\"Yes\",ISBLANK(E412)),Lookup!$C$12,IF(AND(D412=\"Yes\",E412>=C412),Lookup!$C$7,IF(AND(D412=\"No\",E412>=C412),Lookup!$C$8,IF(AND(D412=\"Yes\",E412<C412),Lookup!$C$9,IF(AND(D412=\"No\",E412<C412),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},14.27,null,null,{"$f":"IF(ISNUMBER(G412),IF(OR(AND(ISBLANK(H412),ISBLANK(I412)),AND(H412=\"No\",ISBLANK(I412))),\"\",IF(AND(ISBLANK(H412),ISNUMBER(I412)),Lookup!$C$11,IF(AND(H412=\"Yes\",ISBLANK(I412)),Lookup!$C$12,IF(AND(H412=\"Yes\",I412>=G412),Lookup!$C$7,IF(AND(H412=\"No\",I412>=G412),Lookup!$C$8,IF(AND(H412=\"Yes\",I412<G412),Lookup!$C$9,IF(AND(H412=\"No\",I412<G412),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,13.86,null,{"$f":"IF(ISNUMBER(L412),IF(ISBLANK(M412),\"\",IF(M412>=L412,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.86,null,{"$f":"IF(ISNUMBER(O412),IF(ISBLANK(P412),\"\",IF(P412>=O412,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0404","Ekg Tracing For Initial Prev",6.26,null,null,{"$f":"IF(ISNUMBER(C413),IF(OR(AND(ISBLANK(D413),ISBLANK(E413)),AND(D413=\"No\",ISBLANK(E413))),\"\",IF(AND(ISBLANK(D413),ISNUMBER(E413)),Lookup!$C$11,IF(AND(D413=\"Yes\",ISBLANK(E413)),Lookup!$C$12,IF(AND(D413=\"Yes\",E413>=C413),Lookup!$C$7,IF(AND(D413=\"No\",E413>=C413),Lookup!$C$8,IF(AND(D413=\"Yes\",E413<C413),Lookup!$C$9,IF(AND(D413=\"No\",E413<C413),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},6.26,null,null,{"$f":"IF(ISNUMBER(G413),IF(OR(AND(ISBLANK(H413),ISBLANK(I413)),AND(H413=\"No\",ISBLANK(I413))),\"\",IF(AND(ISBLANK(H413),ISNUMBER(I413)),Lookup!$C$11,IF(AND(H413=\"Yes\",ISBLANK(I413)),Lookup!$C$12,IF(AND(H413=\"Yes\",I413>=G413),Lookup!$C$7,IF(AND(H413=\"No\",I413>=G413),Lookup!$C$8,IF(AND(H413=\"Yes\",I413<G413),Lookup!$C$9,IF(AND(H413=\"No\",I413<G413),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,6.08,null,{"$f":"IF(ISNUMBER(L413),IF(ISBLANK(M413),\"\",IF(M413>=L413,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},6.08,null,{"$f":"IF(ISNUMBER(O413),IF(ISBLANK(P413),\"\",IF(P413>=O413,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0405","Ekg Interpret & Report Preve",8.01,null,null,{"$f":"IF(ISNUMBER(C414),IF(OR(AND(ISBLANK(D414),ISBLANK(E414)),AND(D414=\"No\",ISBLANK(E414))),\"\",IF(AND(ISBLANK(D414),ISNUMBER(E414)),Lookup!$C$11,IF(AND(D414=\"Yes\",ISBLANK(E414)),Lookup!$C$12,IF(AND(D414=\"Yes\",E414>=C414),Lookup!$C$7,IF(AND(D414=\"No\",E414>=C414),Lookup!$C$8,IF(AND(D414=\"Yes\",E414<C414),Lookup!$C$9,IF(AND(D414=\"No\",E414<C414),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},8.01,null,null,{"$f":"IF(ISNUMBER(G414),IF(OR(AND(ISBLANK(H414),ISBLANK(I414)),AND(H414=\"No\",ISBLANK(I414))),\"\",IF(AND(ISBLANK(H414),ISNUMBER(I414)),Lookup!$C$11,IF(AND(H414=\"Yes\",ISBLANK(I414)),Lookup!$C$12,IF(AND(H414=\"Yes\",I414>=G414),Lookup!$C$7,IF(AND(H414=\"No\",I414>=G414),Lookup!$C$8,IF(AND(H414=\"Yes\",I414<G414),Lookup!$C$9,IF(AND(H414=\"No\",I414<G414),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,7.78,null,{"$f":"IF(ISNUMBER(L414),IF(ISBLANK(M414),\"\",IF(M414>=L414,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},7.78,null,{"$f":"IF(ISNUMBER(O414),IF(ISBLANK(P414),\"\",IF(P414>=O414,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0436","Smoke Tob Cessation Cnsl As Pt; Intrmed 3-10 Min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C415),IF(OR(AND(ISBLANK(D415),ISBLANK(E415)),AND(D415=\"No\",ISBLANK(E415))),\"\",IF(AND(ISBLANK(D415),ISNUMBER(E415)),Lookup!$C$11,IF(AND(D415=\"Yes\",ISBLANK(E415)),Lookup!$C$12,IF(AND(D415=\"Yes\",E415>=C415),Lookup!$C$7,IF(AND(D415=\"No\",E415>=C415),Lookup!$C$8,IF(AND(D415=\"Yes\",E415<C415),Lookup!$C$9,IF(AND(D415=\"No\",E415<C415),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G415),IF(OR(AND(ISBLANK(H415),ISBLANK(I415)),AND(H415=\"No\",ISBLANK(I415))),\"\",IF(AND(ISBLANK(H415),ISNUMBER(I415)),Lookup!$C$11,IF(AND(H415=\"Yes\",ISBLANK(I415)),Lookup!$C$12,IF(AND(H415=\"Yes\",I415>=G415),Lookup!$C$7,IF(AND(H415=\"No\",I415>=G415),Lookup!$C$8,IF(AND(H415=\"Yes\",I415<G415),Lookup!$C$9,IF(AND(H415=\"No\",I415<G415),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L415),IF(ISBLANK(M415),\"\",IF(M415>=L415,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O415),IF(ISBLANK(P415),\"\",IF(P415>=O415,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0437","Smoking & Tob Cess Cnsl As Pt; Intensive >10 Min ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C416),IF(OR(AND(ISBLANK(D416),ISBLANK(E416)),AND(D416=\"No\",ISBLANK(E416))),\"\",IF(AND(ISBLANK(D416),ISNUMBER(E416)),Lookup!$C$11,IF(AND(D416=\"Yes\",ISBLANK(E416)),Lookup!$C$12,IF(AND(D416=\"Yes\",E416>=C416),Lookup!$C$7,IF(AND(D416=\"No\",E416>=C416),Lookup!$C$8,IF(AND(D416=\"Yes\",E416<C416),Lookup!$C$9,IF(AND(D416=\"No\",E416<C416),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G416),IF(OR(AND(ISBLANK(H416),ISBLANK(I416)),AND(H416=\"No\",ISBLANK(I416))),\"\",IF(AND(ISBLANK(H416),ISNUMBER(I416)),Lookup!$C$11,IF(AND(H416=\"Yes\",ISBLANK(I416)),Lookup!$C$12,IF(AND(H416=\"Yes\",I416>=G416),Lookup!$C$7,IF(AND(H416=\"No\",I416>=G416),Lookup!$C$8,IF(AND(H416=\"Yes\",I416<G416),Lookup!$C$9,IF(AND(H416=\"No\",I416<G416),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L416),IF(ISBLANK(M416),\"\",IF(M416>=L416,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O416),IF(ISBLANK(P416),\"\",IF(P416>=O416,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0438","Ppps, Initial Visit",165.34,null,null,{"$f":"IF(ISNUMBER(C417),IF(OR(AND(ISBLANK(D417),ISBLANK(E417)),AND(D417=\"No\",ISBLANK(E417))),\"\",IF(AND(ISBLANK(D417),ISNUMBER(E417)),Lookup!$C$11,IF(AND(D417=\"Yes\",ISBLANK(E417)),Lookup!$C$12,IF(AND(D417=\"Yes\",E417>=C417),Lookup!$C$7,IF(AND(D417=\"No\",E417>=C417),Lookup!$C$8,IF(AND(D417=\"Yes\",E417<C417),Lookup!$C$9,IF(AND(D417=\"No\",E417<C417),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},165.34,null,null,{"$f":"IF(ISNUMBER(G417),IF(OR(AND(ISBLANK(H417),ISBLANK(I417)),AND(H417=\"No\",ISBLANK(I417))),\"\",IF(AND(ISBLANK(H417),ISNUMBER(I417)),Lookup!$C$11,IF(AND(H417=\"Yes\",ISBLANK(I417)),Lookup!$C$12,IF(AND(H417=\"Yes\",I417>=G417),Lookup!$C$7,IF(AND(H417=\"No\",I417>=G417),Lookup!$C$8,IF(AND(H417=\"Yes\",I417<G417),Lookup!$C$9,IF(AND(H417=\"No\",I417<G417),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,160.36000000000001,null,{"$f":"IF(ISNUMBER(L417),IF(ISBLANK(M417),\"\",IF(M417>=L417,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},160.36000000000001,null,{"$f":"IF(ISNUMBER(O417),IF(ISBLANK(P417),\"\",IF(P417>=O417,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0439","Ppps, Subseq Visit",130.01,null,null,{"$f":"IF(ISNUMBER(C418),IF(OR(AND(ISBLANK(D418),ISBLANK(E418)),AND(D418=\"No\",ISBLANK(E418))),\"\",IF(AND(ISBLANK(D418),ISNUMBER(E418)),Lookup!$C$11,IF(AND(D418=\"Yes\",ISBLANK(E418)),Lookup!$C$12,IF(AND(D418=\"Yes\",E418>=C418),Lookup!$C$7,IF(AND(D418=\"No\",E418>=C418),Lookup!$C$8,IF(AND(D418=\"Yes\",E418<C418),Lookup!$C$9,IF(AND(D418=\"No\",E418<C418),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},130.01,null,null,{"$f":"IF(ISNUMBER(G418),IF(OR(AND(ISBLANK(H418),ISBLANK(I418)),AND(H418=\"No\",ISBLANK(I418))),\"\",IF(AND(ISBLANK(H418),ISNUMBER(I418)),Lookup!$C$11,IF(AND(H418=\"Yes\",ISBLANK(I418)),Lookup!$C$12,IF(AND(H418=\"Yes\",I418>=G418),Lookup!$C$7,IF(AND(H418=\"No\",I418>=G418),Lookup!$C$8,IF(AND(H418=\"Yes\",I418<G418),Lookup!$C$9,IF(AND(H418=\"No\",I418<G418),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,126.34,null,{"$f":"IF(ISNUMBER(L418),IF(ISBLANK(M418),\"\",IF(M418>=L418,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},126.34,null,{"$f":"IF(ISNUMBER(O418),IF(ISBLANK(P418),\"\",IF(P418>=O418,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0442","Annual Alcohol Screen 15 Min",18.91,null,null,{"$f":"IF(ISNUMBER(C419),IF(OR(AND(ISBLANK(D419),ISBLANK(E419)),AND(D419=\"No\",ISBLANK(E419))),\"\",IF(AND(ISBLANK(D419),ISNUMBER(E419)),Lookup!$C$11,IF(AND(D419=\"Yes\",ISBLANK(E419)),Lookup!$C$12,IF(AND(D419=\"Yes\",E419>=C419),Lookup!$C$7,IF(AND(D419=\"No\",E419>=C419),Lookup!$C$8,IF(AND(D419=\"Yes\",E419<C419),Lookup!$C$9,IF(AND(D419=\"No\",E419<C419),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},18.91,null,null,{"$f":"IF(ISNUMBER(G419),IF(OR(AND(ISBLANK(H419),ISBLANK(I419)),AND(H419=\"No\",ISBLANK(I419))),\"\",IF(AND(ISBLANK(H419),ISNUMBER(I419)),Lookup!$C$11,IF(AND(H419=\"Yes\",ISBLANK(I419)),Lookup!$C$12,IF(AND(H419=\"Yes\",I419>=G419),Lookup!$C$7,IF(AND(H419=\"No\",I419>=G419),Lookup!$C$8,IF(AND(H419=\"Yes\",I419<G419),Lookup!$C$9,IF(AND(H419=\"No\",I419<G419),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.09,null,{"$f":"IF(ISNUMBER(L419),IF(ISBLANK(M419),\"\",IF(M419>=L419,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.09,null,{"$f":"IF(ISNUMBER(O419),IF(ISBLANK(P419),\"\",IF(P419>=O419,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0443","Brief Alcohol Misuse Counsel",24.98,null,null,{"$f":"IF(ISNUMBER(C420),IF(OR(AND(ISBLANK(D420),ISBLANK(E420)),AND(D420=\"No\",ISBLANK(E420))),\"\",IF(AND(ISBLANK(D420),ISNUMBER(E420)),Lookup!$C$11,IF(AND(D420=\"Yes\",ISBLANK(E420)),Lookup!$C$12,IF(AND(D420=\"Yes\",E420>=C420),Lookup!$C$7,IF(AND(D420=\"No\",E420>=C420),Lookup!$C$8,IF(AND(D420=\"Yes\",E420<C420),Lookup!$C$9,IF(AND(D420=\"No\",E420<C420),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},24.98,null,null,{"$f":"IF(ISNUMBER(G420),IF(OR(AND(ISBLANK(H420),ISBLANK(I420)),AND(H420=\"No\",ISBLANK(I420))),\"\",IF(AND(ISBLANK(H420),ISNUMBER(I420)),Lookup!$C$11,IF(AND(H420=\"Yes\",ISBLANK(I420)),Lookup!$C$12,IF(AND(H420=\"Yes\",I420>=G420),Lookup!$C$7,IF(AND(H420=\"No\",I420>=G420),Lookup!$C$8,IF(AND(H420=\"Yes\",I420<G420),Lookup!$C$9,IF(AND(H420=\"No\",I420<G420),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,31.72,null,{"$f":"IF(ISNUMBER(L420),IF(ISBLANK(M420),\"\",IF(M420>=L420,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},31.72,null,{"$f":"IF(ISNUMBER(O420),IF(ISBLANK(P420),\"\",IF(P420>=O420,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0444","Depression Screen Annual 15 Min",18.91,null,null,{"$f":"IF(ISNUMBER(C421),IF(OR(AND(ISBLANK(D421),ISBLANK(E421)),AND(D421=\"No\",ISBLANK(E421))),\"\",IF(AND(ISBLANK(D421),ISNUMBER(E421)),Lookup!$C$11,IF(AND(D421=\"Yes\",ISBLANK(E421)),Lookup!$C$12,IF(AND(D421=\"Yes\",E421>=C421),Lookup!$C$7,IF(AND(D421=\"No\",E421>=C421),Lookup!$C$8,IF(AND(D421=\"Yes\",E421<C421),Lookup!$C$9,IF(AND(D421=\"No\",E421<C421),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},18.91,null,null,{"$f":"IF(ISNUMBER(G421),IF(OR(AND(ISBLANK(H421),ISBLANK(I421)),AND(H421=\"No\",ISBLANK(I421))),\"\",IF(AND(ISBLANK(H421),ISNUMBER(I421)),Lookup!$C$11,IF(AND(H421=\"Yes\",ISBLANK(I421)),Lookup!$C$12,IF(AND(H421=\"Yes\",I421>=G421),Lookup!$C$7,IF(AND(H421=\"No\",I421>=G421),Lookup!$C$8,IF(AND(H421=\"Yes\",I421<G421),Lookup!$C$9,IF(AND(H421=\"No\",I421<G421),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,17.09,null,{"$f":"IF(ISNUMBER(L421),IF(ISBLANK(M421),\"\",IF(M421>=L421,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.09,null,{"$f":"IF(ISNUMBER(O421),IF(ISBLANK(P421),\"\",IF(P421>=O421,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0445","High Intensity Behavioral Counseling Std 30 Min ",26.3,null,null,{"$f":"IF(ISNUMBER(C422),IF(OR(AND(ISBLANK(D422),ISBLANK(E422)),AND(D422=\"No\",ISBLANK(E422))),\"\",IF(AND(ISBLANK(D422),ISNUMBER(E422)),Lookup!$C$11,IF(AND(D422=\"Yes\",ISBLANK(E422)),Lookup!$C$12,IF(AND(D422=\"Yes\",E422>=C422),Lookup!$C$7,IF(AND(D422=\"No\",E422>=C422),Lookup!$C$8,IF(AND(D422=\"Yes\",E422<C422),Lookup!$C$9,IF(AND(D422=\"No\",E422<C422),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},26.3,null,null,{"$f":"IF(ISNUMBER(G422),IF(OR(AND(ISBLANK(H422),ISBLANK(I422)),AND(H422=\"No\",ISBLANK(I422))),\"\",IF(AND(ISBLANK(H422),ISNUMBER(I422)),Lookup!$C$11,IF(AND(H422=\"Yes\",ISBLANK(I422)),Lookup!$C$12,IF(AND(H422=\"Yes\",I422>=G422),Lookup!$C$7,IF(AND(H422=\"No\",I422>=G422),Lookup!$C$8,IF(AND(H422=\"Yes\",I422<G422),Lookup!$C$9,IF(AND(H422=\"No\",I422<G422),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,31.4,null,{"$f":"IF(ISNUMBER(L422),IF(ISBLANK(M422),\"\",IF(M422>=L422,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},31.4,null,{"$f":"IF(ISNUMBER(O422),IF(ISBLANK(P422),\"\",IF(P422>=O422,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0447","Behavior Counsel Obesity 15 Min ",25.31,null,null,{"$f":"IF(ISNUMBER(C423),IF(OR(AND(ISBLANK(D423),ISBLANK(E423)),AND(D423=\"No\",ISBLANK(E423))),\"\",IF(AND(ISBLANK(D423),ISNUMBER(E423)),Lookup!$C$11,IF(AND(D423=\"Yes\",ISBLANK(E423)),Lookup!$C$12,IF(AND(D423=\"Yes\",E423>=C423),Lookup!$C$7,IF(AND(D423=\"No\",E423>=C423),Lookup!$C$8,IF(AND(D423=\"Yes\",E423<C423),Lookup!$C$9,IF(AND(D423=\"No\",E423<C423),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},25.31,null,null,{"$f":"IF(ISNUMBER(G423),IF(OR(AND(ISBLANK(H423),ISBLANK(I423)),AND(H423=\"No\",ISBLANK(I423))),\"\",IF(AND(ISBLANK(H423),ISNUMBER(I423)),Lookup!$C$11,IF(AND(H423=\"Yes\",ISBLANK(I423)),Lookup!$C$12,IF(AND(H423=\"Yes\",I423>=G423),Lookup!$C$7,IF(AND(H423=\"No\",I423>=G423),Lookup!$C$8,IF(AND(H423=\"Yes\",I423<G423),Lookup!$C$9,IF(AND(H423=\"No\",I423<G423),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,31.72,null,{"$f":"IF(ISNUMBER(L423),IF(ISBLANK(M423),\"\",IF(M423>=L423,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},31.72,null,{"$f":"IF(ISNUMBER(O423),IF(ISBLANK(P423),\"\",IF(P423>=O423,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0463","Hospital Outpt Clinic Visit","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C424),IF(OR(AND(ISBLANK(D424),ISBLANK(E424)),AND(D424=\"No\",ISBLANK(E424))),\"\",IF(AND(ISBLANK(D424),ISNUMBER(E424)),Lookup!$C$11,IF(AND(D424=\"Yes\",ISBLANK(E424)),Lookup!$C$12,IF(AND(D424=\"Yes\",E424>=C424),Lookup!$C$7,IF(AND(D424=\"No\",E424>=C424),Lookup!$C$8,IF(AND(D424=\"Yes\",E424<C424),Lookup!$C$9,IF(AND(D424=\"No\",E424<C424),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G424),IF(OR(AND(ISBLANK(H424),ISBLANK(I424)),AND(H424=\"No\",ISBLANK(I424))),\"\",IF(AND(ISBLANK(H424),ISNUMBER(I424)),Lookup!$C$11,IF(AND(H424=\"Yes\",ISBLANK(I424)),Lookup!$C$12,IF(AND(H424=\"Yes\",I424>=G424),Lookup!$C$7,IF(AND(H424=\"No\",I424>=G424),Lookup!$C$8,IF(AND(H424=\"Yes\",I424<G424),Lookup!$C$9,IF(AND(H424=\"No\",I424<G424),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L424),IF(ISBLANK(M424),\"\",IF(M424>=L424,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O424),IF(ISBLANK(P424),\"\",IF(P424>=O424,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0466","FQHC Visit, New Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C425),IF(OR(AND(ISBLANK(D425),ISBLANK(E425)),AND(D425=\"No\",ISBLANK(E425))),\"\",IF(AND(ISBLANK(D425),ISNUMBER(E425)),Lookup!$C$11,IF(AND(D425=\"Yes\",ISBLANK(E425)),Lookup!$C$12,IF(AND(D425=\"Yes\",E425>=C425),Lookup!$C$7,IF(AND(D425=\"No\",E425>=C425),Lookup!$C$8,IF(AND(D425=\"Yes\",E425<C425),Lookup!$C$9,IF(AND(D425=\"No\",E425<C425),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G425),IF(OR(AND(ISBLANK(H425),ISBLANK(I425)),AND(H425=\"No\",ISBLANK(I425))),\"\",IF(AND(ISBLANK(H425),ISNUMBER(I425)),Lookup!$C$11,IF(AND(H425=\"Yes\",ISBLANK(I425)),Lookup!$C$12,IF(AND(H425=\"Yes\",I425>=G425),Lookup!$C$7,IF(AND(H425=\"No\",I425>=G425),Lookup!$C$8,IF(AND(H425=\"Yes\",I425<G425),Lookup!$C$9,IF(AND(H425=\"No\",I425<G425),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L425),IF(ISBLANK(M425),\"\",IF(M425>=L425,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O425),IF(ISBLANK(P425),\"\",IF(P425>=O425,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0467","FQHC Visit, Established Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C426),IF(OR(AND(ISBLANK(D426),ISBLANK(E426)),AND(D426=\"No\",ISBLANK(E426))),\"\",IF(AND(ISBLANK(D426),ISNUMBER(E426)),Lookup!$C$11,IF(AND(D426=\"Yes\",ISBLANK(E426)),Lookup!$C$12,IF(AND(D426=\"Yes\",E426>=C426),Lookup!$C$7,IF(AND(D426=\"No\",E426>=C426),Lookup!$C$8,IF(AND(D426=\"Yes\",E426<C426),Lookup!$C$9,IF(AND(D426=\"No\",E426<C426),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G426),IF(OR(AND(ISBLANK(H426),ISBLANK(I426)),AND(H426=\"No\",ISBLANK(I426))),\"\",IF(AND(ISBLANK(H426),ISNUMBER(I426)),Lookup!$C$11,IF(AND(H426=\"Yes\",ISBLANK(I426)),Lookup!$C$12,IF(AND(H426=\"Yes\",I426>=G426),Lookup!$C$7,IF(AND(H426=\"No\",I426>=G426),Lookup!$C$8,IF(AND(H426=\"Yes\",I426<G426),Lookup!$C$9,IF(AND(H426=\"No\",I426<G426),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L426),IF(ISBLANK(M426),\"\",IF(M426>=L426,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O426),IF(ISBLANK(P426),\"\",IF(P426>=O426,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0468","FQHC Preventive Visit","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C427),IF(OR(AND(ISBLANK(D427),ISBLANK(E427)),AND(D427=\"No\",ISBLANK(E427))),\"\",IF(AND(ISBLANK(D427),ISNUMBER(E427)),Lookup!$C$11,IF(AND(D427=\"Yes\",ISBLANK(E427)),Lookup!$C$12,IF(AND(D427=\"Yes\",E427>=C427),Lookup!$C$7,IF(AND(D427=\"No\",E427>=C427),Lookup!$C$8,IF(AND(D427=\"Yes\",E427<C427),Lookup!$C$9,IF(AND(D427=\"No\",E427<C427),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G427),IF(OR(AND(ISBLANK(H427),ISBLANK(I427)),AND(H427=\"No\",ISBLANK(I427))),\"\",IF(AND(ISBLANK(H427),ISNUMBER(I427)),Lookup!$C$11,IF(AND(H427=\"Yes\",ISBLANK(I427)),Lookup!$C$12,IF(AND(H427=\"Yes\",I427>=G427),Lookup!$C$7,IF(AND(H427=\"No\",I427>=G427),Lookup!$C$8,IF(AND(H427=\"Yes\",I427<G427),Lookup!$C$9,IF(AND(H427=\"No\",I427<G427),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L427),IF(ISBLANK(M427),\"\",IF(M427>=L427,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O427),IF(ISBLANK(P427),\"\",IF(P427>=O427,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0472","Hepatitis C Antibody Screening","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C428),IF(OR(AND(ISBLANK(D428),ISBLANK(E428)),AND(D428=\"No\",ISBLANK(E428))),\"\",IF(AND(ISBLANK(D428),ISNUMBER(E428)),Lookup!$C$11,IF(AND(D428=\"Yes\",ISBLANK(E428)),Lookup!$C$12,IF(AND(D428=\"Yes\",E428>=C428),Lookup!$C$7,IF(AND(D428=\"No\",E428>=C428),Lookup!$C$8,IF(AND(D428=\"Yes\",E428<C428),Lookup!$C$9,IF(AND(D428=\"No\",E428<C428),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G428),IF(OR(AND(ISBLANK(H428),ISBLANK(I428)),AND(H428=\"No\",ISBLANK(I428))),\"\",IF(AND(ISBLANK(H428),ISNUMBER(I428)),Lookup!$C$11,IF(AND(H428=\"Yes\",ISBLANK(I428)),Lookup!$C$12,IF(AND(H428=\"Yes\",I428>=G428),Lookup!$C$7,IF(AND(H428=\"No\",I428>=G428),Lookup!$C$8,IF(AND(H428=\"Yes\",I428<G428),Lookup!$C$9,IF(AND(H428=\"No\",I428<G428),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L428),IF(ISBLANK(M428),\"\",IF(M428>=L428,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O428),IF(ISBLANK(P428),\"\",IF(P428>=O428,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0473","Preventative Group Visits For Obesity",12.33,null,null,{"$f":"IF(ISNUMBER(C429),IF(OR(AND(ISBLANK(D429),ISBLANK(E429)),AND(D429=\"No\",ISBLANK(E429))),\"\",IF(AND(ISBLANK(D429),ISNUMBER(E429)),Lookup!$C$11,IF(AND(D429=\"Yes\",ISBLANK(E429)),Lookup!$C$12,IF(AND(D429=\"Yes\",E429>=C429),Lookup!$C$7,IF(AND(D429=\"No\",E429>=C429),Lookup!$C$8,IF(AND(D429=\"Yes\",E429<C429),Lookup!$C$9,IF(AND(D429=\"No\",E429<C429),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},12.33,null,null,{"$f":"IF(ISNUMBER(G429),IF(OR(AND(ISBLANK(H429),ISBLANK(I429)),AND(H429=\"No\",ISBLANK(I429))),\"\",IF(AND(ISBLANK(H429),ISNUMBER(I429)),Lookup!$C$11,IF(AND(H429=\"Yes\",ISBLANK(I429)),Lookup!$C$12,IF(AND(H429=\"Yes\",I429>=G429),Lookup!$C$7,IF(AND(H429=\"No\",I429>=G429),Lookup!$C$8,IF(AND(H429=\"Yes\",I429<G429),Lookup!$C$9,IF(AND(H429=\"No\",I429<G429),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.99,null,{"$f":"IF(ISNUMBER(L429),IF(ISBLANK(M429),\"\",IF(M429>=L429,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.99,null,{"$f":"IF(ISNUMBER(O429),IF(ISBLANK(P429),\"\",IF(P429>=O429,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0475","HIV Antigen/Antibody, Combination Assay, Screening","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C430),IF(OR(AND(ISBLANK(D430),ISBLANK(E430)),AND(D430=\"No\",ISBLANK(E430))),\"\",IF(AND(ISBLANK(D430),ISNUMBER(E430)),Lookup!$C$11,IF(AND(D430=\"Yes\",ISBLANK(E430)),Lookup!$C$12,IF(AND(D430=\"Yes\",E430>=C430),Lookup!$C$7,IF(AND(D430=\"No\",E430>=C430),Lookup!$C$8,IF(AND(D430=\"Yes\",E430<C430),Lookup!$C$9,IF(AND(D430=\"No\",E430<C430),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G430),IF(OR(AND(ISBLANK(H430),ISBLANK(I430)),AND(H430=\"No\",ISBLANK(I430))),\"\",IF(AND(ISBLANK(H430),ISNUMBER(I430)),Lookup!$C$11,IF(AND(H430=\"Yes\",ISBLANK(I430)),Lookup!$C$12,IF(AND(H430=\"Yes\",I430>=G430),Lookup!$C$7,IF(AND(H430=\"No\",I430>=G430),Lookup!$C$8,IF(AND(H430=\"Yes\",I430<G430),Lookup!$C$9,IF(AND(H430=\"No\",I430<G430),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L430),IF(ISBLANK(M430),\"\",IF(M430>=L430,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O430),IF(ISBLANK(P430),\"\",IF(P430>=O430,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0476","HPV Combo Assay Cancer Screen","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C431),IF(OR(AND(ISBLANK(D431),ISBLANK(E431)),AND(D431=\"No\",ISBLANK(E431))),\"\",IF(AND(ISBLANK(D431),ISNUMBER(E431)),Lookup!$C$11,IF(AND(D431=\"Yes\",ISBLANK(E431)),Lookup!$C$12,IF(AND(D431=\"Yes\",E431>=C431),Lookup!$C$7,IF(AND(D431=\"No\",E431>=C431),Lookup!$C$8,IF(AND(D431=\"Yes\",E431<C431),Lookup!$C$9,IF(AND(D431=\"No\",E431<C431),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G431),IF(OR(AND(ISBLANK(H431),ISBLANK(I431)),AND(H431=\"No\",ISBLANK(I431))),\"\",IF(AND(ISBLANK(H431),ISNUMBER(I431)),Lookup!$C$11,IF(AND(H431=\"Yes\",ISBLANK(I431)),Lookup!$C$12,IF(AND(H431=\"Yes\",I431>=G431),Lookup!$C$7,IF(AND(H431=\"No\",I431>=G431),Lookup!$C$8,IF(AND(H431=\"Yes\",I431<G431),Lookup!$C$9,IF(AND(H431=\"No\",I431<G431),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L431),IF(ISBLANK(M431),\"\",IF(M431>=L431,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O431),IF(ISBLANK(P431),\"\",IF(P431>=O431,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0505","Cognition and functional assessment ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C432),IF(OR(AND(ISBLANK(D432),ISBLANK(E432)),AND(D432=\"No\",ISBLANK(E432))),\"\",IF(AND(ISBLANK(D432),ISNUMBER(E432)),Lookup!$C$11,IF(AND(D432=\"Yes\",ISBLANK(E432)),Lookup!$C$12,IF(AND(D432=\"Yes\",E432>=C432),Lookup!$C$7,IF(AND(D432=\"No\",E432>=C432),Lookup!$C$8,IF(AND(D432=\"Yes\",E432<C432),Lookup!$C$9,IF(AND(D432=\"No\",E432<C432),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G432),IF(OR(AND(ISBLANK(H432),ISBLANK(I432)),AND(H432=\"No\",ISBLANK(I432))),\"\",IF(AND(ISBLANK(H432),ISNUMBER(I432)),Lookup!$C$11,IF(AND(H432=\"Yes\",ISBLANK(I432)),Lookup!$C$12,IF(AND(H432=\"Yes\",I432>=G432),Lookup!$C$7,IF(AND(H432=\"No\",I432>=G432),Lookup!$C$8,IF(AND(H432=\"Yes\",I432<G432),Lookup!$C$9,IF(AND(H432=\"No\",I432<G432),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L432),IF(ISBLANK(M432),\"\",IF(M432>=L432,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O432),IF(ISBLANK(P432),\"\",IF(P432>=O432,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0506","Comprehensive Asses Care Plan Chronic Care Mgmt Services",62.49,null,null,{"$f":"IF(ISNUMBER(C433),IF(OR(AND(ISBLANK(D433),ISBLANK(E433)),AND(D433=\"No\",ISBLANK(E433))),\"\",IF(AND(ISBLANK(D433),ISNUMBER(E433)),Lookup!$C$11,IF(AND(D433=\"Yes\",ISBLANK(E433)),Lookup!$C$12,IF(AND(D433=\"Yes\",E433>=C433),Lookup!$C$7,IF(AND(D433=\"No\",E433>=C433),Lookup!$C$8,IF(AND(D433=\"Yes\",E433<C433),Lookup!$C$9,IF(AND(D433=\"No\",E433<C433),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},62.49,null,null,{"$f":"IF(ISNUMBER(G433),IF(OR(AND(ISBLANK(H433),ISBLANK(I433)),AND(H433=\"No\",ISBLANK(I433))),\"\",IF(AND(ISBLANK(H433),ISNUMBER(I433)),Lookup!$C$11,IF(AND(H433=\"Yes\",ISBLANK(I433)),Lookup!$C$12,IF(AND(H433=\"Yes\",I433>=G433),Lookup!$C$7,IF(AND(H433=\"No\",I433>=G433),Lookup!$C$8,IF(AND(H433=\"Yes\",I433<G433),Lookup!$C$9,IF(AND(H433=\"No\",I433<G433),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,60.73,null,{"$f":"IF(ISNUMBER(L433),IF(ISBLANK(M433),\"\",IF(M433>=L433,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},60.73,null,{"$f":"IF(ISNUMBER(O433),IF(ISBLANK(P433),\"\",IF(P433>=O433,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0511","Chronic Care Management Rural Health Clinic","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C434),IF(OR(AND(ISBLANK(D434),ISBLANK(E434)),AND(D434=\"No\",ISBLANK(E434))),\"\",IF(AND(ISBLANK(D434),ISNUMBER(E434)),Lookup!$C$11,IF(AND(D434=\"Yes\",ISBLANK(E434)),Lookup!$C$12,IF(AND(D434=\"Yes\",E434>=C434),Lookup!$C$7,IF(AND(D434=\"No\",E434>=C434),Lookup!$C$8,IF(AND(D434=\"Yes\",E434<C434),Lookup!$C$9,IF(AND(D434=\"No\",E434<C434),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G434),IF(OR(AND(ISBLANK(H434),ISBLANK(I434)),AND(H434=\"No\",ISBLANK(I434))),\"\",IF(AND(ISBLANK(H434),ISNUMBER(I434)),Lookup!$C$11,IF(AND(H434=\"Yes\",ISBLANK(I434)),Lookup!$C$12,IF(AND(H434=\"Yes\",I434>=G434),Lookup!$C$7,IF(AND(H434=\"No\",I434>=G434),Lookup!$C$8,IF(AND(H434=\"Yes\",I434<G434),Lookup!$C$9,IF(AND(H434=\"No\",I434<G434),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L434),IF(ISBLANK(M434),\"\",IF(M434>=L434,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O434),IF(ISBLANK(P434),\"\",IF(P434>=O434,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G0513","Prolong Preventative Services, First 30 Min",62.96,null,null,{"$f":"IF(ISNUMBER(C435),IF(OR(AND(ISBLANK(D435),ISBLANK(E435)),AND(D435=\"No\",ISBLANK(E435))),\"\",IF(AND(ISBLANK(D435),ISNUMBER(E435)),Lookup!$C$11,IF(AND(D435=\"Yes\",ISBLANK(E435)),Lookup!$C$12,IF(AND(D435=\"Yes\",E435>=C435),Lookup!$C$7,IF(AND(D435=\"No\",E435>=C435),Lookup!$C$8,IF(AND(D435=\"Yes\",E435<C435),Lookup!$C$9,IF(AND(D435=\"No\",E435<C435),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},62.96,null,null,{"$f":"IF(ISNUMBER(G435),IF(OR(AND(ISBLANK(H435),ISBLANK(I435)),AND(H435=\"No\",ISBLANK(I435))),\"\",IF(AND(ISBLANK(H435),ISNUMBER(I435)),Lookup!$C$11,IF(AND(H435=\"Yes\",ISBLANK(I435)),Lookup!$C$12,IF(AND(H435=\"Yes\",I435>=G435),Lookup!$C$7,IF(AND(H435=\"No\",I435>=G435),Lookup!$C$8,IF(AND(H435=\"Yes\",I435<G435),Lookup!$C$9,IF(AND(H435=\"No\",I435<G435),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,60.87,null,{"$f":"IF(ISNUMBER(L435),IF(ISBLANK(M435),\"\",IF(M435>=L435,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},60.87,null,{"$f":"IF(ISNUMBER(O435),IF(ISBLANK(P435),\"\",IF(P435>=O435,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0514","Prolonged Preventive Service Addl 30 Min",63.29,null,null,{"$f":"IF(ISNUMBER(C436),IF(OR(AND(ISBLANK(D436),ISBLANK(E436)),AND(D436=\"No\",ISBLANK(E436))),\"\",IF(AND(ISBLANK(D436),ISNUMBER(E436)),Lookup!$C$11,IF(AND(D436=\"Yes\",ISBLANK(E436)),Lookup!$C$12,IF(AND(D436=\"Yes\",E436>=C436),Lookup!$C$7,IF(AND(D436=\"No\",E436>=C436),Lookup!$C$8,IF(AND(D436=\"Yes\",E436<C436),Lookup!$C$9,IF(AND(D436=\"No\",E436<C436),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},63.29,null,null,{"$f":"IF(ISNUMBER(G436),IF(OR(AND(ISBLANK(H436),ISBLANK(I436)),AND(H436=\"No\",ISBLANK(I436))),\"\",IF(AND(ISBLANK(H436),ISNUMBER(I436)),Lookup!$C$11,IF(AND(H436=\"Yes\",ISBLANK(I436)),Lookup!$C$12,IF(AND(H436=\"Yes\",I436>=G436),Lookup!$C$7,IF(AND(H436=\"No\",I436>=G436),Lookup!$C$8,IF(AND(H436=\"Yes\",I436<G436),Lookup!$C$9,IF(AND(H436=\"No\",I436<G436),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,60.87,null,{"$f":"IF(ISNUMBER(L436),IF(ISBLANK(M436),\"\",IF(M436>=L436,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},60.87,null,{"$f":"IF(ISNUMBER(O436),IF(ISBLANK(P436),\"\",IF(P436>=O436,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0537","Risk ascvd tst once pr 12 mo ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C437),IF(OR(AND(ISBLANK(D437),ISBLANK(E437)),AND(D437=\"No\",ISBLANK(E437))),\"\",IF(AND(ISBLANK(D437),ISNUMBER(E437)),Lookup!$C$11,IF(AND(D437=\"Yes\",ISBLANK(E437)),Lookup!$C$12,IF(AND(D437=\"Yes\",E437>=C437),Lookup!$C$7,IF(AND(D437=\"No\",E437>=C437),Lookup!$C$8,IF(AND(D437=\"Yes\",E437<C437),Lookup!$C$9,IF(AND(D437=\"No\",E437<C437),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G437),IF(OR(AND(ISBLANK(H437),ISBLANK(I437)),AND(H437=\"No\",ISBLANK(I437))),\"\",IF(AND(ISBLANK(H437),ISNUMBER(I437)),Lookup!$C$11,IF(AND(H437=\"Yes\",ISBLANK(I437)),Lookup!$C$12,IF(AND(H437=\"Yes\",I437>=G437),Lookup!$C$7,IF(AND(H437=\"No\",I437>=G437),Lookup!$C$8,IF(AND(H437=\"Yes\",I437<G437),Lookup!$C$9,IF(AND(H437=\"No\",I437<G437),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,18.38,null,{"$f":"IF(ISNUMBER(L437),IF(ISBLANK(M437),\"\",IF(M437>=L437,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},18.38,null,{"$f":"IF(ISNUMBER(O437),IF(ISBLANK(P437),\"\",IF(P437>=O437,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0538","Ascvd rsk mng clin stf pr mo ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C438),IF(OR(AND(ISBLANK(D438),ISBLANK(E438)),AND(D438=\"No\",ISBLANK(E438))),\"\",IF(AND(ISBLANK(D438),ISNUMBER(E438)),Lookup!$C$11,IF(AND(D438=\"Yes\",ISBLANK(E438)),Lookup!$C$12,IF(AND(D438=\"Yes\",E438>=C438),Lookup!$C$7,IF(AND(D438=\"No\",E438>=C438),Lookup!$C$8,IF(AND(D438=\"Yes\",E438<C438),Lookup!$C$9,IF(AND(D438=\"No\",E438<C438),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G438),IF(OR(AND(ISBLANK(H438),ISBLANK(I438)),AND(H438=\"No\",ISBLANK(I438))),\"\",IF(AND(ISBLANK(H438),ISNUMBER(I438)),Lookup!$C$11,IF(AND(H438=\"Yes\",ISBLANK(I438)),Lookup!$C$12,IF(AND(H438=\"Yes\",I438>=G438),Lookup!$C$7,IF(AND(H438=\"No\",I438>=G438),Lookup!$C$8,IF(AND(H438=\"Yes\",I438<G438),Lookup!$C$9,IF(AND(H438=\"No\",I438<G438),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,15.17,null,{"$f":"IF(ISNUMBER(L438),IF(ISBLANK(M438),\"\",IF(M438>=L438,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},15.17,null,{"$f":"IF(ISNUMBER(O438),IF(ISBLANK(P438),\"\",IF(P438>=O438,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0539","Initial care training 30 m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C439),IF(OR(AND(ISBLANK(D439),ISBLANK(E439)),AND(D439=\"No\",ISBLANK(E439))),\"\",IF(AND(ISBLANK(D439),ISNUMBER(E439)),Lookup!$C$11,IF(AND(D439=\"Yes\",ISBLANK(E439)),Lookup!$C$12,IF(AND(D439=\"Yes\",E439>=C439),Lookup!$C$7,IF(AND(D439=\"No\",E439>=C439),Lookup!$C$8,IF(AND(D439=\"Yes\",E439<C439),Lookup!$C$9,IF(AND(D439=\"No\",E439<C439),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G439),IF(OR(AND(ISBLANK(H439),ISBLANK(I439)),AND(H439=\"No\",ISBLANK(I439))),\"\",IF(AND(ISBLANK(H439),ISNUMBER(I439)),Lookup!$C$11,IF(AND(H439=\"Yes\",ISBLANK(I439)),Lookup!$C$12,IF(AND(H439=\"Yes\",I439>=G439),Lookup!$C$7,IF(AND(H439=\"No\",I439>=G439),Lookup!$C$8,IF(AND(H439=\"Yes\",I439<G439),Lookup!$C$9,IF(AND(H439=\"No\",I439<G439),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,52.17,null,{"$f":"IF(ISNUMBER(L439),IF(ISBLANK(M439),\"\",IF(M439>=L439,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},52.17,null,{"$f":"IF(ISNUMBER(O439),IF(ISBLANK(P439),\"\",IF(P439>=O439,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0540","Train for caregiver add 15 ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C440),IF(OR(AND(ISBLANK(D440),ISBLANK(E440)),AND(D440=\"No\",ISBLANK(E440))),\"\",IF(AND(ISBLANK(D440),ISNUMBER(E440)),Lookup!$C$11,IF(AND(D440=\"Yes\",ISBLANK(E440)),Lookup!$C$12,IF(AND(D440=\"Yes\",E440>=C440),Lookup!$C$7,IF(AND(D440=\"No\",E440>=C440),Lookup!$C$8,IF(AND(D440=\"Yes\",E440<C440),Lookup!$C$9,IF(AND(D440=\"No\",E440<C440),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G440),IF(OR(AND(ISBLANK(H440),ISBLANK(I440)),AND(H440=\"No\",ISBLANK(I440))),\"\",IF(AND(ISBLANK(H440),ISNUMBER(I440)),Lookup!$C$11,IF(AND(H440=\"Yes\",ISBLANK(I440)),Lookup!$C$12,IF(AND(H440=\"Yes\",I440>=G440),Lookup!$C$7,IF(AND(H440=\"No\",I440>=G440),Lookup!$C$8,IF(AND(H440=\"Yes\",I440<G440),Lookup!$C$9,IF(AND(H440=\"No\",I440<G440),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,25.63,null,{"$f":"IF(ISNUMBER(L440),IF(ISBLANK(M440),\"\",IF(M440>=L440,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},25.63,null,{"$f":"IF(ISNUMBER(O440),IF(ISBLANK(P440),\"\",IF(P440>=O440,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0541","No pt prsnt train initial 30 ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C441),IF(OR(AND(ISBLANK(D441),ISBLANK(E441)),AND(D441=\"No\",ISBLANK(E441))),\"\",IF(AND(ISBLANK(D441),ISNUMBER(E441)),Lookup!$C$11,IF(AND(D441=\"Yes\",ISBLANK(E441)),Lookup!$C$12,IF(AND(D441=\"Yes\",E441>=C441),Lookup!$C$7,IF(AND(D441=\"No\",E441>=C441),Lookup!$C$8,IF(AND(D441=\"Yes\",E441<C441),Lookup!$C$9,IF(AND(D441=\"No\",E441<C441),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G441),IF(OR(AND(ISBLANK(H441),ISBLANK(I441)),AND(H441=\"No\",ISBLANK(I441))),\"\",IF(AND(ISBLANK(H441),ISNUMBER(I441)),Lookup!$C$11,IF(AND(H441=\"Yes\",ISBLANK(I441)),Lookup!$C$12,IF(AND(H441=\"Yes\",I441>=G441),Lookup!$C$7,IF(AND(H441=\"No\",I441>=G441),Lookup!$C$8,IF(AND(H441=\"Yes\",I441<G441),Lookup!$C$9,IF(AND(H441=\"No\",I441<G441),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,52.17,null,{"$f":"IF(ISNUMBER(L441),IF(ISBLANK(M441),\"\",IF(M441>=L441,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},52.17,null,{"$f":"IF(ISNUMBER(O441),IF(ISBLANK(P441),\"\",IF(P441>=O441,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0542","No pt prsnt train add 15 ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C442),IF(OR(AND(ISBLANK(D442),ISBLANK(E442)),AND(D442=\"No\",ISBLANK(E442))),\"\",IF(AND(ISBLANK(D442),ISNUMBER(E442)),Lookup!$C$11,IF(AND(D442=\"Yes\",ISBLANK(E442)),Lookup!$C$12,IF(AND(D442=\"Yes\",E442>=C442),Lookup!$C$7,IF(AND(D442=\"No\",E442>=C442),Lookup!$C$8,IF(AND(D442=\"Yes\",E442<C442),Lookup!$C$9,IF(AND(D442=\"No\",E442<C442),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G442),IF(OR(AND(ISBLANK(H442),ISBLANK(I442)),AND(H442=\"No\",ISBLANK(I442))),\"\",IF(AND(ISBLANK(H442),ISNUMBER(I442)),Lookup!$C$11,IF(AND(H442=\"Yes\",ISBLANK(I442)),Lookup!$C$12,IF(AND(H442=\"Yes\",I442>=G442),Lookup!$C$7,IF(AND(H442=\"No\",I442>=G442),Lookup!$C$8,IF(AND(H442=\"Yes\",I442<G442),Lookup!$C$9,IF(AND(H442=\"No\",I442<G442),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,25.63,null,{"$f":"IF(ISNUMBER(L442),IF(ISBLANK(M442),\"\",IF(M442>=L442,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},25.63,null,{"$f":"IF(ISNUMBER(O442),IF(ISBLANK(P442),\"\",IF(P442>=O442,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0543","Group train w/o patient ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C443),IF(OR(AND(ISBLANK(D443),ISBLANK(E443)),AND(D443=\"No\",ISBLANK(E443))),\"\",IF(AND(ISBLANK(D443),ISNUMBER(E443)),Lookup!$C$11,IF(AND(D443=\"Yes\",ISBLANK(E443)),Lookup!$C$12,IF(AND(D443=\"Yes\",E443>=C443),Lookup!$C$7,IF(AND(D443=\"No\",E443>=C443),Lookup!$C$8,IF(AND(D443=\"Yes\",E443<C443),Lookup!$C$9,IF(AND(D443=\"No\",E443<C443),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G443),IF(OR(AND(ISBLANK(H443),ISBLANK(I443)),AND(H443=\"No\",ISBLANK(I443))),\"\",IF(AND(ISBLANK(H443),ISNUMBER(I443)),Lookup!$C$11,IF(AND(H443=\"Yes\",ISBLANK(I443)),Lookup!$C$12,IF(AND(H443=\"Yes\",I443>=G443),Lookup!$C$7,IF(AND(H443=\"No\",I443>=G443),Lookup!$C$8,IF(AND(H443=\"Yes\",I443<G443),Lookup!$C$9,IF(AND(H443=\"No\",I443<G443),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,21.93,null,{"$f":"IF(ISNUMBER(L443),IF(ISBLANK(M443),\"\",IF(M443>=L443,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},21.93,null,{"$f":"IF(ISNUMBER(O443),IF(ISBLANK(P443),\"\",IF(P443>=O443,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0546","Phone/internet ehr assess ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C444),IF(OR(AND(ISBLANK(D444),ISBLANK(E444)),AND(D444=\"No\",ISBLANK(E444))),\"\",IF(AND(ISBLANK(D444),ISNUMBER(E444)),Lookup!$C$11,IF(AND(D444=\"Yes\",ISBLANK(E444)),Lookup!$C$12,IF(AND(D444=\"Yes\",E444>=C444),Lookup!$C$7,IF(AND(D444=\"No\",E444>=C444),Lookup!$C$8,IF(AND(D444=\"Yes\",E444<C444),Lookup!$C$9,IF(AND(D444=\"No\",E444<C444),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G444),IF(OR(AND(ISBLANK(H444),ISBLANK(I444)),AND(H444=\"No\",ISBLANK(I444))),\"\",IF(AND(ISBLANK(H444),ISNUMBER(I444)),Lookup!$C$11,IF(AND(H444=\"Yes\",ISBLANK(I444)),Lookup!$C$12,IF(AND(H444=\"Yes\",I444>=G444),Lookup!$C$7,IF(AND(H444=\"No\",I444>=G444),Lookup!$C$8,IF(AND(H444=\"Yes\",I444<G444),Lookup!$C$9,IF(AND(H444=\"No\",I444<G444),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,17.16,null,{"$f":"IF(ISNUMBER(L444),IF(ISBLANK(M444),\"\",IF(M444>=L444,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},17.16,null,{"$f":"IF(ISNUMBER(O444),IF(ISBLANK(P444),\"\",IF(P444>=O444,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0547","Phone/internet svs 11-20m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C445),IF(OR(AND(ISBLANK(D445),ISBLANK(E445)),AND(D445=\"No\",ISBLANK(E445))),\"\",IF(AND(ISBLANK(D445),ISNUMBER(E445)),Lookup!$C$11,IF(AND(D445=\"Yes\",ISBLANK(E445)),Lookup!$C$12,IF(AND(D445=\"Yes\",E445>=C445),Lookup!$C$7,IF(AND(D445=\"No\",E445>=C445),Lookup!$C$8,IF(AND(D445=\"Yes\",E445<C445),Lookup!$C$9,IF(AND(D445=\"No\",E445<C445),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G445),IF(OR(AND(ISBLANK(H445),ISBLANK(I445)),AND(H445=\"No\",ISBLANK(I445))),\"\",IF(AND(ISBLANK(H445),ISNUMBER(I445)),Lookup!$C$11,IF(AND(H445=\"Yes\",ISBLANK(I445)),Lookup!$C$12,IF(AND(H445=\"Yes\",I445>=G445),Lookup!$C$7,IF(AND(H445=\"No\",I445>=G445),Lookup!$C$8,IF(AND(H445=\"Yes\",I445<G445),Lookup!$C$9,IF(AND(H445=\"No\",I445<G445),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,34.64,null,{"$f":"IF(ISNUMBER(L445),IF(ISBLANK(M445),\"\",IF(M445>=L445,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},34.64,null,{"$f":"IF(ISNUMBER(O445),IF(ISBLANK(P445),\"\",IF(P445>=O445,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0548","Phone/inter svs 21-30 m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C446),IF(OR(AND(ISBLANK(D446),ISBLANK(E446)),AND(D446=\"No\",ISBLANK(E446))),\"\",IF(AND(ISBLANK(D446),ISNUMBER(E446)),Lookup!$C$11,IF(AND(D446=\"Yes\",ISBLANK(E446)),Lookup!$C$12,IF(AND(D446=\"Yes\",E446>=C446),Lookup!$C$7,IF(AND(D446=\"No\",E446>=C446),Lookup!$C$8,IF(AND(D446=\"Yes\",E446<C446),Lookup!$C$9,IF(AND(D446=\"No\",E446<C446),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G446),IF(OR(AND(ISBLANK(H446),ISBLANK(I446)),AND(H446=\"No\",ISBLANK(I446))),\"\",IF(AND(ISBLANK(H446),ISNUMBER(I446)),Lookup!$C$11,IF(AND(H446=\"Yes\",ISBLANK(I446)),Lookup!$C$12,IF(AND(H446=\"Yes\",I446>=G446),Lookup!$C$7,IF(AND(H446=\"No\",I446>=G446),Lookup!$C$8,IF(AND(H446=\"Yes\",I446<G446),Lookup!$C$9,IF(AND(H446=\"No\",I446<G446),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,52.42,null,{"$f":"IF(ISNUMBER(L446),IF(ISBLANK(M446),\"\",IF(M446>=L446,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},52.42,null,{"$f":"IF(ISNUMBER(O446),IF(ISBLANK(P446),\"\",IF(P446>=O446,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0549","Phone/inter for treat>31m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C447),IF(OR(AND(ISBLANK(D447),ISBLANK(E447)),AND(D447=\"No\",ISBLANK(E447))),\"\",IF(AND(ISBLANK(D447),ISNUMBER(E447)),Lookup!$C$11,IF(AND(D447=\"Yes\",ISBLANK(E447)),Lookup!$C$12,IF(AND(D447=\"Yes\",E447>=C447),Lookup!$C$7,IF(AND(D447=\"No\",E447>=C447),Lookup!$C$8,IF(AND(D447=\"Yes\",E447<C447),Lookup!$C$9,IF(AND(D447=\"No\",E447<C447),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G447),IF(OR(AND(ISBLANK(H447),ISBLANK(I447)),AND(H447=\"No\",ISBLANK(I447))),\"\",IF(AND(ISBLANK(H447),ISNUMBER(I447)),Lookup!$C$11,IF(AND(H447=\"Yes\",ISBLANK(I447)),Lookup!$C$12,IF(AND(H447=\"Yes\",I447>=G447),Lookup!$C$7,IF(AND(H447=\"No\",I447>=G447),Lookup!$C$8,IF(AND(H447=\"Yes\",I447<G447),Lookup!$C$9,IF(AND(H447=\"No\",I447<G447),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,70.22,null,{"$f":"IF(ISNUMBER(L447),IF(ISBLANK(M447),\"\",IF(M447>=L447,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},70.22,null,{"$f":"IF(ISNUMBER(O447),IF(ISBLANK(P447),\"\",IF(P447>=O447,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0550","Phone/inter for dx/treat >5m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C448),IF(OR(AND(ISBLANK(D448),ISBLANK(E448)),AND(D448=\"No\",ISBLANK(E448))),\"\",IF(AND(ISBLANK(D448),ISNUMBER(E448)),Lookup!$C$11,IF(AND(D448=\"Yes\",ISBLANK(E448)),Lookup!$C$12,IF(AND(D448=\"Yes\",E448>=C448),Lookup!$C$7,IF(AND(D448=\"No\",E448>=C448),Lookup!$C$8,IF(AND(D448=\"Yes\",E448<C448),Lookup!$C$9,IF(AND(D448=\"No\",E448<C448),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G448),IF(OR(AND(ISBLANK(H448),ISBLANK(I448)),AND(H448=\"No\",ISBLANK(I448))),\"\",IF(AND(ISBLANK(H448),ISNUMBER(I448)),Lookup!$C$11,IF(AND(H448=\"Yes\",ISBLANK(I448)),Lookup!$C$12,IF(AND(H448=\"Yes\",I448>=G448),Lookup!$C$7,IF(AND(H448=\"No\",I448>=G448),Lookup!$C$8,IF(AND(H448=\"Yes\",I448<G448),Lookup!$C$9,IF(AND(H448=\"No\",I448<G448),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,32.42,null,{"$f":"IF(ISNUMBER(L448),IF(ISBLANK(M448),\"\",IF(M448>=L448,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},32.42,null,{"$f":"IF(ISNUMBER(O448),IF(ISBLANK(P448),\"\",IF(P448>=O448,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0551","Phn/intr svs fr dx treat 30m ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C449),IF(OR(AND(ISBLANK(D449),ISBLANK(E449)),AND(D449=\"No\",ISBLANK(E449))),\"\",IF(AND(ISBLANK(D449),ISNUMBER(E449)),Lookup!$C$11,IF(AND(D449=\"Yes\",ISBLANK(E449)),Lookup!$C$12,IF(AND(D449=\"Yes\",E449>=C449),Lookup!$C$7,IF(AND(D449=\"No\",E449>=C449),Lookup!$C$8,IF(AND(D449=\"Yes\",E449<C449),Lookup!$C$9,IF(AND(D449=\"No\",E449<C449),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G449),IF(OR(AND(ISBLANK(H449),ISBLANK(I449)),AND(H449=\"No\",ISBLANK(I449))),\"\",IF(AND(ISBLANK(H449),ISNUMBER(I449)),Lookup!$C$11,IF(AND(H449=\"Yes\",ISBLANK(I449)),Lookup!$C$12,IF(AND(H449=\"Yes\",I449>=G449),Lookup!$C$7,IF(AND(H449=\"No\",I449>=G449),Lookup!$C$8,IF(AND(H449=\"Yes\",I449<G449),Lookup!$C$9,IF(AND(H449=\"No\",I449<G449),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,34.020000000000003,null,{"$f":"IF(ISNUMBER(L449),IF(ISBLANK(M449),\"\",IF(M449>=L449,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},34.020000000000003,null,{"$f":"IF(ISNUMBER(O449),IF(ISBLANK(P449),\"\",IF(P449>=O449,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0556","Adv prim care mgmt lvl 1","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C450),IF(OR(AND(ISBLANK(D450),ISBLANK(E450)),AND(D450=\"No\",ISBLANK(E450))),\"\",IF(AND(ISBLANK(D450),ISNUMBER(E450)),Lookup!$C$11,IF(AND(D450=\"Yes\",ISBLANK(E450)),Lookup!$C$12,IF(AND(D450=\"Yes\",E450>=C450),Lookup!$C$7,IF(AND(D450=\"No\",E450>=C450),Lookup!$C$8,IF(AND(D450=\"Yes\",E450<C450),Lookup!$C$9,IF(AND(D450=\"No\",E450<C450),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G450),IF(OR(AND(ISBLANK(H450),ISBLANK(I450)),AND(H450=\"No\",ISBLANK(I450))),\"\",IF(AND(ISBLANK(H450),ISNUMBER(I450)),Lookup!$C$11,IF(AND(H450=\"Yes\",ISBLANK(I450)),Lookup!$C$12,IF(AND(H450=\"Yes\",I450>=G450),Lookup!$C$7,IF(AND(H450=\"No\",I450>=G450),Lookup!$C$8,IF(AND(H450=\"Yes\",I450<G450),Lookup!$C$9,IF(AND(H450=\"No\",I450<G450),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,15.19,null,{"$f":"IF(ISNUMBER(L450),IF(ISBLANK(M450),\"\",IF(M450>=L450,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},15.19,null,{"$f":"IF(ISNUMBER(O450),IF(ISBLANK(P450),\"\",IF(P450>=O450,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0557","Adv prim care mgmt lvl 2","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C451),IF(OR(AND(ISBLANK(D451),ISBLANK(E451)),AND(D451=\"No\",ISBLANK(E451))),\"\",IF(AND(ISBLANK(D451),ISNUMBER(E451)),Lookup!$C$11,IF(AND(D451=\"Yes\",ISBLANK(E451)),Lookup!$C$12,IF(AND(D451=\"Yes\",E451>=C451),Lookup!$C$7,IF(AND(D451=\"No\",E451>=C451),Lookup!$C$8,IF(AND(D451=\"Yes\",E451<C451),Lookup!$C$9,IF(AND(D451=\"No\",E451<C451),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G451),IF(OR(AND(ISBLANK(H451),ISBLANK(I451)),AND(H451=\"No\",ISBLANK(I451))),\"\",IF(AND(ISBLANK(H451),ISNUMBER(I451)),Lookup!$C$11,IF(AND(H451=\"Yes\",ISBLANK(I451)),Lookup!$C$12,IF(AND(H451=\"Yes\",I451>=G451),Lookup!$C$7,IF(AND(H451=\"No\",I451>=G451),Lookup!$C$8,IF(AND(H451=\"Yes\",I451<G451),Lookup!$C$9,IF(AND(H451=\"No\",I451<G451),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,48.82,null,{"$f":"IF(ISNUMBER(L451),IF(ISBLANK(M451),\"\",IF(M451>=L451,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},48.82,null,{"$f":"IF(ISNUMBER(O451),IF(ISBLANK(P451),\"\",IF(P451>=O451,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G0558","Adv prim care mgmt lvl 3","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C452),IF(OR(AND(ISBLANK(D452),ISBLANK(E452)),AND(D452=\"No\",ISBLANK(E452))),\"\",IF(AND(ISBLANK(D452),ISNUMBER(E452)),Lookup!$C$11,IF(AND(D452=\"Yes\",ISBLANK(E452)),Lookup!$C$12,IF(AND(D452=\"Yes\",E452>=C452),Lookup!$C$7,IF(AND(D452=\"No\",E452>=C452),Lookup!$C$8,IF(AND(D452=\"Yes\",E452<C452),Lookup!$C$9,IF(AND(D452=\"No\",E452<C452),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G452),IF(OR(AND(ISBLANK(H452),ISBLANK(I452)),AND(H452=\"No\",ISBLANK(I452))),\"\",IF(AND(ISBLANK(H452),ISNUMBER(I452)),Lookup!$C$11,IF(AND(H452=\"Yes\",ISBLANK(I452)),Lookup!$C$12,IF(AND(H452=\"Yes\",I452>=G452),Lookup!$C$7,IF(AND(H452=\"No\",I452>=G452),Lookup!$C$8,IF(AND(H452=\"Yes\",I452<G452),Lookup!$C$9,IF(AND(H452=\"No\",I452<G452),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,106.96,null,{"$f":"IF(ISNUMBER(L452),IF(ISBLANK(M452),\"\",IF(M452>=L452,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},106.96,null,{"$f":"IF(ISNUMBER(O452),IF(ISBLANK(P452),\"\",IF(P452>=O452,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2010","Remote Evaluation Of Recodred Video/Images",12.31,null,null,{"$f":"IF(ISNUMBER(C453),IF(OR(AND(ISBLANK(D453),ISBLANK(E453)),AND(D453=\"No\",ISBLANK(E453))),\"\",IF(AND(ISBLANK(D453),ISNUMBER(E453)),Lookup!$C$11,IF(AND(D453=\"Yes\",ISBLANK(E453)),Lookup!$C$12,IF(AND(D453=\"Yes\",E453>=C453),Lookup!$C$7,IF(AND(D453=\"No\",E453>=C453),Lookup!$C$8,IF(AND(D453=\"Yes\",E453<C453),Lookup!$C$9,IF(AND(D453=\"No\",E453<C453),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},12.31,null,null,{"$f":"IF(ISNUMBER(G453),IF(OR(AND(ISBLANK(H453),ISBLANK(I453)),AND(H453=\"No\",ISBLANK(I453))),\"\",IF(AND(ISBLANK(H453),ISNUMBER(I453)),Lookup!$C$11,IF(AND(H453=\"Yes\",ISBLANK(I453)),Lookup!$C$12,IF(AND(H453=\"Yes\",I453>=G453),Lookup!$C$7,IF(AND(H453=\"No\",I453>=G453),Lookup!$C$8,IF(AND(H453=\"Yes\",I453<G453),Lookup!$C$9,IF(AND(H453=\"No\",I453<G453),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.96,null,{"$f":"IF(ISNUMBER(L453),IF(ISBLANK(M453),\"\",IF(M453>=L453,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.96,null,{"$f":"IF(ISNUMBER(O453),IF(ISBLANK(P453),\"\",IF(P453>=O453,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2064","Comprehensive Care Management Services For Single High-Risk Disease Physician","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C454),IF(OR(AND(ISBLANK(D454),ISBLANK(E454)),AND(D454=\"No\",ISBLANK(E454))),\"\",IF(AND(ISBLANK(D454),ISNUMBER(E454)),Lookup!$C$11,IF(AND(D454=\"Yes\",ISBLANK(E454)),Lookup!$C$12,IF(AND(D454=\"Yes\",E454>=C454),Lookup!$C$7,IF(AND(D454=\"No\",E454>=C454),Lookup!$C$8,IF(AND(D454=\"Yes\",E454<C454),Lookup!$C$9,IF(AND(D454=\"No\",E454<C454),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G454),IF(OR(AND(ISBLANK(H454),ISBLANK(I454)),AND(H454=\"No\",ISBLANK(I454))),\"\",IF(AND(ISBLANK(H454),ISNUMBER(I454)),Lookup!$C$11,IF(AND(H454=\"Yes\",ISBLANK(I454)),Lookup!$C$12,IF(AND(H454=\"Yes\",I454>=G454),Lookup!$C$7,IF(AND(H454=\"No\",I454>=G454),Lookup!$C$8,IF(AND(H454=\"Yes\",I454<G454),Lookup!$C$9,IF(AND(H454=\"No\",I454<G454),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L454),IF(ISBLANK(M454),\"\",IF(M454>=L454,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O454),IF(ISBLANK(P454),\"\",IF(P454>=O454,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G2065","Comprehensive Care Management Services For A Single High-Risk Disease Clinical Staff","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C455),IF(OR(AND(ISBLANK(D455),ISBLANK(E455)),AND(D455=\"No\",ISBLANK(E455))),\"\",IF(AND(ISBLANK(D455),ISNUMBER(E455)),Lookup!$C$11,IF(AND(D455=\"Yes\",ISBLANK(E455)),Lookup!$C$12,IF(AND(D455=\"Yes\",E455>=C455),Lookup!$C$7,IF(AND(D455=\"No\",E455>=C455),Lookup!$C$8,IF(AND(D455=\"Yes\",E455<C455),Lookup!$C$9,IF(AND(D455=\"No\",E455<C455),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G455),IF(OR(AND(ISBLANK(H455),ISBLANK(I455)),AND(H455=\"No\",ISBLANK(I455))),\"\",IF(AND(ISBLANK(H455),ISNUMBER(I455)),Lookup!$C$11,IF(AND(H455=\"Yes\",ISBLANK(I455)),Lookup!$C$12,IF(AND(H455=\"Yes\",I455>=G455),Lookup!$C$7,IF(AND(H455=\"No\",I455>=G455),Lookup!$C$8,IF(AND(H455=\"Yes\",I455<G455),Lookup!$C$9,IF(AND(H455=\"No\",I455<G455),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L455),IF(ISBLANK(M455),\"\",IF(M455>=L455,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O455),IF(ISBLANK(P455),\"\",IF(P455>=O455,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G2211","Complex e/m visit add on",16.34,null,null,{"$f":"IF(ISNUMBER(C456),IF(OR(AND(ISBLANK(D456),ISBLANK(E456)),AND(D456=\"No\",ISBLANK(E456))),\"\",IF(AND(ISBLANK(D456),ISNUMBER(E456)),Lookup!$C$11,IF(AND(D456=\"Yes\",ISBLANK(E456)),Lookup!$C$12,IF(AND(D456=\"Yes\",E456>=C456),Lookup!$C$7,IF(AND(D456=\"No\",E456>=C456),Lookup!$C$8,IF(AND(D456=\"Yes\",E456<C456),Lookup!$C$9,IF(AND(D456=\"No\",E456<C456),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},16.34,null,null,{"$f":"IF(ISNUMBER(G456),IF(OR(AND(ISBLANK(H456),ISBLANK(I456)),AND(H456=\"No\",ISBLANK(I456))),\"\",IF(AND(ISBLANK(H456),ISNUMBER(I456)),Lookup!$C$11,IF(AND(H456=\"Yes\",ISBLANK(I456)),Lookup!$C$12,IF(AND(H456=\"Yes\",I456>=G456),Lookup!$C$7,IF(AND(H456=\"No\",I456>=G456),Lookup!$C$8,IF(AND(H456=\"Yes\",I456<G456),Lookup!$C$9,IF(AND(H456=\"No\",I456<G456),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,15.56,null,{"$f":"IF(ISNUMBER(L456),IF(ISBLANK(M456),\"\",IF(M456>=L456,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},15.56,null,{"$f":"IF(ISNUMBER(O456),IF(ISBLANK(P456),\"\",IF(P456>=O456,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2214","Initial or subsequent psych collab care mgmt",57.16,null,null,{"$f":"IF(ISNUMBER(C457),IF(OR(AND(ISBLANK(D457),ISBLANK(E457)),AND(D457=\"No\",ISBLANK(E457))),\"\",IF(AND(ISBLANK(D457),ISNUMBER(E457)),Lookup!$C$11,IF(AND(D457=\"Yes\",ISBLANK(E457)),Lookup!$C$12,IF(AND(D457=\"Yes\",E457>=C457),Lookup!$C$7,IF(AND(D457=\"No\",E457>=C457),Lookup!$C$8,IF(AND(D457=\"Yes\",E457<C457),Lookup!$C$9,IF(AND(D457=\"No\",E457<C457),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},57.16,null,null,{"$f":"IF(ISNUMBER(G457),IF(OR(AND(ISBLANK(H457),ISBLANK(I457)),AND(H457=\"No\",ISBLANK(I457))),\"\",IF(AND(ISBLANK(H457),ISNUMBER(I457)),Lookup!$C$11,IF(AND(H457=\"Yes\",ISBLANK(I457)),Lookup!$C$12,IF(AND(H457=\"Yes\",I457>=G457),Lookup!$C$7,IF(AND(H457=\"No\",I457>=G457),Lookup!$C$8,IF(AND(H457=\"Yes\",I457<G457),Lookup!$C$9,IF(AND(H457=\"No\",I457<G457),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,54.28,null,{"$f":"IF(ISNUMBER(L457),IF(ISBLANK(M457),\"\",IF(M457>=L457,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},54.28,null,{"$f":"IF(ISNUMBER(O457),IF(ISBLANK(P457),\"\",IF(P457>=O457,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2250","Remot img sub by pt, non e/m ",12.31,null,null,{"$f":"IF(ISNUMBER(C458),IF(OR(AND(ISBLANK(D458),ISBLANK(E458)),AND(D458=\"No\",ISBLANK(E458))),\"\",IF(AND(ISBLANK(D458),ISNUMBER(E458)),Lookup!$C$11,IF(AND(D458=\"Yes\",ISBLANK(E458)),Lookup!$C$12,IF(AND(D458=\"Yes\",E458>=C458),Lookup!$C$7,IF(AND(D458=\"No\",E458>=C458),Lookup!$C$8,IF(AND(D458=\"Yes\",E458<C458),Lookup!$C$9,IF(AND(D458=\"No\",E458<C458),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},12.31,null,null,{"$f":"IF(ISNUMBER(G458),IF(OR(AND(ISBLANK(H458),ISBLANK(I458)),AND(H458=\"No\",ISBLANK(I458))),\"\",IF(AND(ISBLANK(H458),ISNUMBER(I458)),Lookup!$C$11,IF(AND(H458=\"Yes\",ISBLANK(I458)),Lookup!$C$12,IF(AND(H458=\"Yes\",I458>=G458),Lookup!$C$7,IF(AND(H458=\"No\",I458>=G458),Lookup!$C$8,IF(AND(H458=\"Yes\",I458<G458),Lookup!$C$9,IF(AND(H458=\"No\",I458<G458),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,11.96,null,{"$f":"IF(ISNUMBER(L458),IF(ISBLANK(M458),\"\",IF(M458>=L458,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},11.96,null,{"$f":"IF(ISNUMBER(O458),IF(ISBLANK(P458),\"\",IF(P458>=O458,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2251","Brief chkin, 5-10, non-e/m ",13.98,null,null,{"$f":"IF(ISNUMBER(C459),IF(OR(AND(ISBLANK(D459),ISBLANK(E459)),AND(D459=\"No\",ISBLANK(E459))),\"\",IF(AND(ISBLANK(D459),ISNUMBER(E459)),Lookup!$C$11,IF(AND(D459=\"Yes\",ISBLANK(E459)),Lookup!$C$12,IF(AND(D459=\"Yes\",E459>=C459),Lookup!$C$7,IF(AND(D459=\"No\",E459>=C459),Lookup!$C$8,IF(AND(D459=\"Yes\",E459<C459),Lookup!$C$9,IF(AND(D459=\"No\",E459<C459),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},13.98,null,null,{"$f":"IF(ISNUMBER(G459),IF(OR(AND(ISBLANK(H459),ISBLANK(I459)),AND(H459=\"No\",ISBLANK(I459))),\"\",IF(AND(ISBLANK(H459),ISNUMBER(I459)),Lookup!$C$11,IF(AND(H459=\"Yes\",ISBLANK(I459)),Lookup!$C$12,IF(AND(H459=\"Yes\",I459>=G459),Lookup!$C$7,IF(AND(H459=\"No\",I459>=G459),Lookup!$C$8,IF(AND(H459=\"Yes\",I459<G459),Lookup!$C$9,IF(AND(H459=\"No\",I459<G459),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,13.91,null,{"$f":"IF(ISNUMBER(L459),IF(ISBLANK(M459),\"\",IF(M459>=L459,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},13.91,null,{"$f":"IF(ISNUMBER(O459),IF(ISBLANK(P459),\"\",IF(P459>=O459,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G2252","Brief chkin by md/qhp, 11-20",26.33,null,null,{"$f":"IF(ISNUMBER(C460),IF(OR(AND(ISBLANK(D460),ISBLANK(E460)),AND(D460=\"No\",ISBLANK(E460))),\"\",IF(AND(ISBLANK(D460),ISNUMBER(E460)),Lookup!$C$11,IF(AND(D460=\"Yes\",ISBLANK(E460)),Lookup!$C$12,IF(AND(D460=\"Yes\",E460>=C460),Lookup!$C$7,IF(AND(D460=\"No\",E460>=C460),Lookup!$C$8,IF(AND(D460=\"Yes\",E460<C460),Lookup!$C$9,IF(AND(D460=\"No\",E460<C460),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},26.33,null,null,{"$f":"IF(ISNUMBER(G460),IF(OR(AND(ISBLANK(H460),ISBLANK(I460)),AND(H460=\"No\",ISBLANK(I460))),\"\",IF(AND(ISBLANK(H460),ISNUMBER(I460)),Lookup!$C$11,IF(AND(H460=\"Yes\",ISBLANK(I460)),Lookup!$C$12,IF(AND(H460=\"Yes\",I460>=G460),Lookup!$C$7,IF(AND(H460=\"No\",I460>=G460),Lookup!$C$8,IF(AND(H460=\"Yes\",I460<G460),Lookup!$C$9,IF(AND(H460=\"No\",I460<G460),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,25.58,null,{"$f":"IF(ISNUMBER(L460),IF(ISBLANK(M460),\"\",IF(M460>=L460,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},25.58,null,{"$f":"IF(ISNUMBER(O460),IF(ISBLANK(P460),\"\",IF(P460>=O460,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G3002","Chronic pain mgmt 30 mins",82.56,null,null,{"$f":"IF(ISNUMBER(C461),IF(OR(AND(ISBLANK(D461),ISBLANK(E461)),AND(D461=\"No\",ISBLANK(E461))),\"\",IF(AND(ISBLANK(D461),ISNUMBER(E461)),Lookup!$C$11,IF(AND(D461=\"Yes\",ISBLANK(E461)),Lookup!$C$12,IF(AND(D461=\"Yes\",E461>=C461),Lookup!$C$7,IF(AND(D461=\"No\",E461>=C461),Lookup!$C$8,IF(AND(D461=\"Yes\",E461<C461),Lookup!$C$9,IF(AND(D461=\"No\",E461<C461),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},82.56,null,null,{"$f":"IF(ISNUMBER(G461),IF(OR(AND(ISBLANK(H461),ISBLANK(I461)),AND(H461=\"No\",ISBLANK(I461))),\"\",IF(AND(ISBLANK(H461),ISNUMBER(I461)),Lookup!$C$11,IF(AND(H461=\"Yes\",ISBLANK(I461)),Lookup!$C$12,IF(AND(H461=\"Yes\",I461>=G461),Lookup!$C$7,IF(AND(H461=\"No\",I461>=G461),Lookup!$C$8,IF(AND(H461=\"Yes\",I461<G461),Lookup!$C$9,IF(AND(H461=\"No\",I461<G461),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,80.19,null,{"$f":"IF(ISNUMBER(L461),IF(ISBLANK(M461),\"\",IF(M461>=L461,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},80.19,null,{"$f":"IF(ISNUMBER(O461),IF(ISBLANK(P461),\"\",IF(P461>=O461,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G3003","Chronic pain mgmt addl 15m",30.27,null,null,{"$f":"IF(ISNUMBER(C462),IF(OR(AND(ISBLANK(D462),ISBLANK(E462)),AND(D462=\"No\",ISBLANK(E462))),\"\",IF(AND(ISBLANK(D462),ISNUMBER(E462)),Lookup!$C$11,IF(AND(D462=\"Yes\",ISBLANK(E462)),Lookup!$C$12,IF(AND(D462=\"Yes\",E462>=C462),Lookup!$C$7,IF(AND(D462=\"No\",E462>=C462),Lookup!$C$8,IF(AND(D462=\"Yes\",E462<C462),Lookup!$C$9,IF(AND(D462=\"No\",E462<C462),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},30.27,null,null,{"$f":"IF(ISNUMBER(G462),IF(OR(AND(ISBLANK(H462),ISBLANK(I462)),AND(H462=\"No\",ISBLANK(I462))),\"\",IF(AND(ISBLANK(H462),ISNUMBER(I462)),Lookup!$C$11,IF(AND(H462=\"Yes\",ISBLANK(I462)),Lookup!$C$12,IF(AND(H462=\"Yes\",I462>=G462),Lookup!$C$7,IF(AND(H462=\"No\",I462>=G462),Lookup!$C$8,IF(AND(H462=\"Yes\",I462<G462),Lookup!$C$9,IF(AND(H462=\"No\",I462<G462),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,29.42,null,{"$f":"IF(ISNUMBER(L462),IF(ISBLANK(M462),\"\",IF(M462>=L462,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},29.42,null,{"$f":"IF(ISNUMBER(O462),IF(ISBLANK(P462),\"\",IF(P462>=O462,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["G8482","Influenza Immunization Administered Or Previously Received","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C463),IF(OR(AND(ISBLANK(D463),ISBLANK(E463)),AND(D463=\"No\",ISBLANK(E463))),\"\",IF(AND(ISBLANK(D463),ISNUMBER(E463)),Lookup!$C$11,IF(AND(D463=\"Yes\",ISBLANK(E463)),Lookup!$C$12,IF(AND(D463=\"Yes\",E463>=C463),Lookup!$C$7,IF(AND(D463=\"No\",E463>=C463),Lookup!$C$8,IF(AND(D463=\"Yes\",E463<C463),Lookup!$C$9,IF(AND(D463=\"No\",E463<C463),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G463),IF(OR(AND(ISBLANK(H463),ISBLANK(I463)),AND(H463=\"No\",ISBLANK(I463))),\"\",IF(AND(ISBLANK(H463),ISNUMBER(I463)),Lookup!$C$11,IF(AND(H463=\"Yes\",ISBLANK(I463)),Lookup!$C$12,IF(AND(H463=\"Yes\",I463>=G463),Lookup!$C$7,IF(AND(H463=\"No\",I463>=G463),Lookup!$C$8,IF(AND(H463=\"Yes\",I463<G463),Lookup!$C$9,IF(AND(H463=\"No\",I463<G463),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L463),IF(ISBLANK(M463),\"\",IF(M463>=L463,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O463),IF(ISBLANK(P463),\"\",IF(P463>=O463,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G9903","Pt Screened For Tobacco Use And Identified As A Non-User","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C464),IF(OR(AND(ISBLANK(D464),ISBLANK(E464)),AND(D464=\"No\",ISBLANK(E464))),\"\",IF(AND(ISBLANK(D464),ISNUMBER(E464)),Lookup!$C$11,IF(AND(D464=\"Yes\",ISBLANK(E464)),Lookup!$C$12,IF(AND(D464=\"Yes\",E464>=C464),Lookup!$C$7,IF(AND(D464=\"No\",E464>=C464),Lookup!$C$8,IF(AND(D464=\"Yes\",E464<C464),Lookup!$C$9,IF(AND(D464=\"No\",E464<C464),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G464),IF(OR(AND(ISBLANK(H464),ISBLANK(I464)),AND(H464=\"No\",ISBLANK(I464))),\"\",IF(AND(ISBLANK(H464),ISNUMBER(I464)),Lookup!$C$11,IF(AND(H464=\"Yes\",ISBLANK(I464)),Lookup!$C$12,IF(AND(H464=\"Yes\",I464>=G464),Lookup!$C$7,IF(AND(H464=\"No\",I464>=G464),Lookup!$C$8,IF(AND(H464=\"Yes\",I464<G464),Lookup!$C$9,IF(AND(H464=\"No\",I464<G464),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L464),IF(ISBLANK(M464),\"\",IF(M464>=L464,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O464),IF(ISBLANK(P464),\"\",IF(P464>=O464,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G9964","Pt Received One Well-Child Visit With A PCP During The Performance Period","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C465),IF(OR(AND(ISBLANK(D465),ISBLANK(E465)),AND(D465=\"No\",ISBLANK(E465))),\"\",IF(AND(ISBLANK(D465),ISNUMBER(E465)),Lookup!$C$11,IF(AND(D465=\"Yes\",ISBLANK(E465)),Lookup!$C$12,IF(AND(D465=\"Yes\",E465>=C465),Lookup!$C$7,IF(AND(D465=\"No\",E465>=C465),Lookup!$C$8,IF(AND(D465=\"Yes\",E465<C465),Lookup!$C$9,IF(AND(D465=\"No\",E465<C465),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G465),IF(OR(AND(ISBLANK(H465),ISBLANK(I465)),AND(H465=\"No\",ISBLANK(I465))),\"\",IF(AND(ISBLANK(H465),ISNUMBER(I465)),Lookup!$C$11,IF(AND(H465=\"Yes\",ISBLANK(I465)),Lookup!$C$12,IF(AND(H465=\"Yes\",I465>=G465),Lookup!$C$7,IF(AND(H465=\"No\",I465>=G465),Lookup!$C$8,IF(AND(H465=\"Yes\",I465<G465),Lookup!$C$9,IF(AND(H465=\"No\",I465<G465),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L465),IF(ISBLANK(M465),\"\",IF(M465>=L465,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O465),IF(ISBLANK(P465),\"\",IF(P465>=O465,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["G9966","Children Who Were Screened For Risk Of Developmental, Behavioral And Social Delays","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C466),IF(OR(AND(ISBLANK(D466),ISBLANK(E466)),AND(D466=\"No\",ISBLANK(E466))),\"\",IF(AND(ISBLANK(D466),ISNUMBER(E466)),Lookup!$C$11,IF(AND(D466=\"Yes\",ISBLANK(E466)),Lookup!$C$12,IF(AND(D466=\"Yes\",E466>=C466),Lookup!$C$7,IF(AND(D466=\"No\",E466>=C466),Lookup!$C$8,IF(AND(D466=\"Yes\",E466<C466),Lookup!$C$9,IF(AND(D466=\"No\",E466<C466),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G466),IF(OR(AND(ISBLANK(H466),ISBLANK(I466)),AND(H466=\"No\",ISBLANK(I466))),\"\",IF(AND(ISBLANK(H466),ISNUMBER(I466)),Lookup!$C$11,IF(AND(H466=\"Yes\",ISBLANK(I466)),Lookup!$C$12,IF(AND(H466=\"Yes\",I466>=G466),Lookup!$C$7,IF(AND(H466=\"No\",I466>=G466),Lookup!$C$8,IF(AND(H466=\"Yes\",I466<G466),Lookup!$C$9,IF(AND(H466=\"No\",I466<G466),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L466),IF(ISBLANK(M466),\"\",IF(M466>=L466,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O466),IF(ISBLANK(P466),\"\",IF(P466>=O466,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H0001","Alcohol and/or drug assessment","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C467),IF(OR(AND(ISBLANK(D467),ISBLANK(E467)),AND(D467=\"No\",ISBLANK(E467))),\"\",IF(AND(ISBLANK(D467),ISNUMBER(E467)),Lookup!$C$11,IF(AND(D467=\"Yes\",ISBLANK(E467)),Lookup!$C$12,IF(AND(D467=\"Yes\",E467>=C467),Lookup!$C$7,IF(AND(D467=\"No\",E467>=C467),Lookup!$C$8,IF(AND(D467=\"Yes\",E467<C467),Lookup!$C$9,IF(AND(D467=\"No\",E467<C467),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G467),IF(OR(AND(ISBLANK(H467),ISBLANK(I467)),AND(H467=\"No\",ISBLANK(I467))),\"\",IF(AND(ISBLANK(H467),ISNUMBER(I467)),Lookup!$C$11,IF(AND(H467=\"Yes\",ISBLANK(I467)),Lookup!$C$12,IF(AND(H467=\"Yes\",I467>=G467),Lookup!$C$7,IF(AND(H467=\"No\",I467>=G467),Lookup!$C$8,IF(AND(H467=\"Yes\",I467<G467),Lookup!$C$9,IF(AND(H467=\"No\",I467<G467),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L467),IF(ISBLANK(M467),\"\",IF(M467>=L467,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O467),IF(ISBLANK(P467),\"\",IF(P467>=O467,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H0002","Behavioral Health Screening To Admit To Treatment Program","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C468),IF(OR(AND(ISBLANK(D468),ISBLANK(E468)),AND(D468=\"No\",ISBLANK(E468))),\"\",IF(AND(ISBLANK(D468),ISNUMBER(E468)),Lookup!$C$11,IF(AND(D468=\"Yes\",ISBLANK(E468)),Lookup!$C$12,IF(AND(D468=\"Yes\",E468>=C468),Lookup!$C$7,IF(AND(D468=\"No\",E468>=C468),Lookup!$C$8,IF(AND(D468=\"Yes\",E468<C468),Lookup!$C$9,IF(AND(D468=\"No\",E468<C468),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G468),IF(OR(AND(ISBLANK(H468),ISBLANK(I468)),AND(H468=\"No\",ISBLANK(I468))),\"\",IF(AND(ISBLANK(H468),ISNUMBER(I468)),Lookup!$C$11,IF(AND(H468=\"Yes\",ISBLANK(I468)),Lookup!$C$12,IF(AND(H468=\"Yes\",I468>=G468),Lookup!$C$7,IF(AND(H468=\"No\",I468>=G468),Lookup!$C$8,IF(AND(H468=\"Yes\",I468<G468),Lookup!$C$9,IF(AND(H468=\"No\",I468<G468),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L468),IF(ISBLANK(M468),\"\",IF(M468>=L468,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O468),IF(ISBLANK(P468),\"\",IF(P468>=O468,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H0031","Mental Health Assess By Non-MD","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C469),IF(OR(AND(ISBLANK(D469),ISBLANK(E469)),AND(D469=\"No\",ISBLANK(E469))),\"\",IF(AND(ISBLANK(D469),ISNUMBER(E469)),Lookup!$C$11,IF(AND(D469=\"Yes\",ISBLANK(E469)),Lookup!$C$12,IF(AND(D469=\"Yes\",E469>=C469),Lookup!$C$7,IF(AND(D469=\"No\",E469>=C469),Lookup!$C$8,IF(AND(D469=\"Yes\",E469<C469),Lookup!$C$9,IF(AND(D469=\"No\",E469<C469),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G469),IF(OR(AND(ISBLANK(H469),ISBLANK(I469)),AND(H469=\"No\",ISBLANK(I469))),\"\",IF(AND(ISBLANK(H469),ISNUMBER(I469)),Lookup!$C$11,IF(AND(H469=\"Yes\",ISBLANK(I469)),Lookup!$C$12,IF(AND(H469=\"Yes\",I469>=G469),Lookup!$C$7,IF(AND(H469=\"No\",I469>=G469),Lookup!$C$8,IF(AND(H469=\"Yes\",I469<G469),Lookup!$C$9,IF(AND(H469=\"No\",I469<G469),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L469),IF(ISBLANK(M469),\"\",IF(M469>=L469,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O469),IF(ISBLANK(P469),\"\",IF(P469>=O469,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H0049","Alcohol/Drug Screening","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C470),IF(OR(AND(ISBLANK(D470),ISBLANK(E470)),AND(D470=\"No\",ISBLANK(E470))),\"\",IF(AND(ISBLANK(D470),ISNUMBER(E470)),Lookup!$C$11,IF(AND(D470=\"Yes\",ISBLANK(E470)),Lookup!$C$12,IF(AND(D470=\"Yes\",E470>=C470),Lookup!$C$7,IF(AND(D470=\"No\",E470>=C470),Lookup!$C$8,IF(AND(D470=\"Yes\",E470<C470),Lookup!$C$9,IF(AND(D470=\"No\",E470<C470),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G470),IF(OR(AND(ISBLANK(H470),ISBLANK(I470)),AND(H470=\"No\",ISBLANK(I470))),\"\",IF(AND(ISBLANK(H470),ISNUMBER(I470)),Lookup!$C$11,IF(AND(H470=\"Yes\",ISBLANK(I470)),Lookup!$C$12,IF(AND(H470=\"Yes\",I470>=G470),Lookup!$C$7,IF(AND(H470=\"No\",I470>=G470),Lookup!$C$8,IF(AND(H470=\"Yes\",I470<G470),Lookup!$C$9,IF(AND(H470=\"No\",I470<G470),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L470),IF(ISBLANK(M470),\"\",IF(M470>=L470,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O470),IF(ISBLANK(P470),\"\",IF(P470>=O470,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H1000","Prenatal Care At Risk Assessm","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C471),IF(OR(AND(ISBLANK(D471),ISBLANK(E471)),AND(D471=\"No\",ISBLANK(E471))),\"\",IF(AND(ISBLANK(D471),ISNUMBER(E471)),Lookup!$C$11,IF(AND(D471=\"Yes\",ISBLANK(E471)),Lookup!$C$12,IF(AND(D471=\"Yes\",E471>=C471),Lookup!$C$7,IF(AND(D471=\"No\",E471>=C471),Lookup!$C$8,IF(AND(D471=\"Yes\",E471<C471),Lookup!$C$9,IF(AND(D471=\"No\",E471<C471),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G471),IF(OR(AND(ISBLANK(H471),ISBLANK(I471)),AND(H471=\"No\",ISBLANK(I471))),\"\",IF(AND(ISBLANK(H471),ISNUMBER(I471)),Lookup!$C$11,IF(AND(H471=\"Yes\",ISBLANK(I471)),Lookup!$C$12,IF(AND(H471=\"Yes\",I471>=G471),Lookup!$C$7,IF(AND(H471=\"No\",I471>=G471),Lookup!$C$8,IF(AND(H471=\"Yes\",I471<G471),Lookup!$C$9,IF(AND(H471=\"No\",I471<G471),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L471),IF(ISBLANK(M471),\"\",IF(M471>=L471,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O471),IF(ISBLANK(P471),\"\",IF(P471>=O471,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H2000","Comprehensive multidisciplinary evaluation","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C472),IF(OR(AND(ISBLANK(D472),ISBLANK(E472)),AND(D472=\"No\",ISBLANK(E472))),\"\",IF(AND(ISBLANK(D472),ISNUMBER(E472)),Lookup!$C$11,IF(AND(D472=\"Yes\",ISBLANK(E472)),Lookup!$C$12,IF(AND(D472=\"Yes\",E472>=C472),Lookup!$C$7,IF(AND(D472=\"No\",E472>=C472),Lookup!$C$8,IF(AND(D472=\"Yes\",E472<C472),Lookup!$C$9,IF(AND(D472=\"No\",E472<C472),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G472),IF(OR(AND(ISBLANK(H472),ISBLANK(I472)),AND(H472=\"No\",ISBLANK(I472))),\"\",IF(AND(ISBLANK(H472),ISNUMBER(I472)),Lookup!$C$11,IF(AND(H472=\"Yes\",ISBLANK(I472)),Lookup!$C$12,IF(AND(H472=\"Yes\",I472>=G472),Lookup!$C$7,IF(AND(H472=\"No\",I472>=G472),Lookup!$C$8,IF(AND(H472=\"Yes\",I472<G472),Lookup!$C$9,IF(AND(H472=\"No\",I472<G472),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L472),IF(ISBLANK(M472),\"\",IF(M472>=L472,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O472),IF(ISBLANK(P472),\"\",IF(P472>=O472,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H2010","Comprehensive medication services, per 15 min","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C473),IF(OR(AND(ISBLANK(D473),ISBLANK(E473)),AND(D473=\"No\",ISBLANK(E473))),\"\",IF(AND(ISBLANK(D473),ISNUMBER(E473)),Lookup!$C$11,IF(AND(D473=\"Yes\",ISBLANK(E473)),Lookup!$C$12,IF(AND(D473=\"Yes\",E473>=C473),Lookup!$C$7,IF(AND(D473=\"No\",E473>=C473),Lookup!$C$8,IF(AND(D473=\"Yes\",E473<C473),Lookup!$C$9,IF(AND(D473=\"No\",E473<C473),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G473),IF(OR(AND(ISBLANK(H473),ISBLANK(I473)),AND(H473=\"No\",ISBLANK(I473))),\"\",IF(AND(ISBLANK(H473),ISNUMBER(I473)),Lookup!$C$11,IF(AND(H473=\"Yes\",ISBLANK(I473)),Lookup!$C$12,IF(AND(H473=\"Yes\",I473>=G473),Lookup!$C$7,IF(AND(H473=\"No\",I473>=G473),Lookup!$C$8,IF(AND(H473=\"Yes\",I473<G473),Lookup!$C$9,IF(AND(H473=\"No\",I473<G473),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L473),IF(ISBLANK(M473),\"\",IF(M473>=L473,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O473),IF(ISBLANK(P473),\"\",IF(P473>=O473,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["H2027","Psychoeducational service, per 15 minutes","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C474),IF(OR(AND(ISBLANK(D474),ISBLANK(E474)),AND(D474=\"No\",ISBLANK(E474))),\"\",IF(AND(ISBLANK(D474),ISNUMBER(E474)),Lookup!$C$11,IF(AND(D474=\"Yes\",ISBLANK(E474)),Lookup!$C$12,IF(AND(D474=\"Yes\",E474>=C474),Lookup!$C$7,IF(AND(D474=\"No\",E474>=C474),Lookup!$C$8,IF(AND(D474=\"Yes\",E474<C474),Lookup!$C$9,IF(AND(D474=\"No\",E474<C474),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G474),IF(OR(AND(ISBLANK(H474),ISBLANK(I474)),AND(H474=\"No\",ISBLANK(I474))),\"\",IF(AND(ISBLANK(H474),ISNUMBER(I474)),Lookup!$C$11,IF(AND(H474=\"Yes\",ISBLANK(I474)),Lookup!$C$12,IF(AND(H474=\"Yes\",I474>=G474),Lookup!$C$7,IF(AND(H474=\"No\",I474>=G474),Lookup!$C$8,IF(AND(H474=\"Yes\",I474<G474),Lookup!$C$9,IF(AND(H474=\"No\",I474<G474),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L474),IF(ISBLANK(M474),\"\",IF(M474>=L474,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O474),IF(ISBLANK(P474),\"\",IF(P474>=O474,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["Q0091","Obtaining Screen Pap Smear",44.1,null,null,{"$f":"IF(ISNUMBER(C475),IF(OR(AND(ISBLANK(D475),ISBLANK(E475)),AND(D475=\"No\",ISBLANK(E475))),\"\",IF(AND(ISBLANK(D475),ISNUMBER(E475)),Lookup!$C$11,IF(AND(D475=\"Yes\",ISBLANK(E475)),Lookup!$C$12,IF(AND(D475=\"Yes\",E475>=C475),Lookup!$C$7,IF(AND(D475=\"No\",E475>=C475),Lookup!$C$8,IF(AND(D475=\"Yes\",E475<C475),Lookup!$C$9,IF(AND(D475=\"No\",E475<C475),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},44.1,null,null,{"$f":"IF(ISNUMBER(G475),IF(OR(AND(ISBLANK(H475),ISBLANK(I475)),AND(H475=\"No\",ISBLANK(I475))),\"\",IF(AND(ISBLANK(H475),ISNUMBER(I475)),Lookup!$C$11,IF(AND(H475=\"Yes\",ISBLANK(I475)),Lookup!$C$12,IF(AND(H475=\"Yes\",I475>=G475),Lookup!$C$7,IF(AND(H475=\"No\",I475>=G475),Lookup!$C$8,IF(AND(H475=\"Yes\",I475<G475),Lookup!$C$9,IF(AND(H475=\"No\",I475<G475),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":""},null,43.17,null,{"$f":"IF(ISNUMBER(L475),IF(ISBLANK(M475),\"\",IF(M475>=L475,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""},43.17,null,{"$f":"IF(ISNUMBER(O475),IF(ISBLANK(P475),\"\",IF(P475>=O475,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":""}]
["S0610","Annual Gynecological Examine New Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C476),IF(OR(AND(ISBLANK(D476),ISBLANK(E476)),AND(D476=\"No\",ISBLANK(E476))),\"\",IF(AND(ISBLANK(D476),ISNUMBER(E476)),Lookup!$C$11,IF(AND(D476=\"Yes\",ISBLANK(E476)),Lookup!$C$12,IF(AND(D476=\"Yes\",E476>=C476),Lookup!$C$7,IF(AND(D476=\"No\",E476>=C476),Lookup!$C$8,IF(AND(D476=\"Yes\",E476<C476),Lookup!$C$9,IF(AND(D476=\"No\",E476<C476),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G476),IF(OR(AND(ISBLANK(H476),ISBLANK(I476)),AND(H476=\"No\",ISBLANK(I476))),\"\",IF(AND(ISBLANK(H476),ISNUMBER(I476)),Lookup!$C$11,IF(AND(H476=\"Yes\",ISBLANK(I476)),Lookup!$C$12,IF(AND(H476=\"Yes\",I476>=G476),Lookup!$C$7,IF(AND(H476=\"No\",I476>=G476),Lookup!$C$8,IF(AND(H476=\"Yes\",I476<G476),Lookup!$C$9,IF(AND(H476=\"No\",I476<G476),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L476),IF(ISBLANK(M476),\"\",IF(M476>=L476,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O476),IF(ISBLANK(P476),\"\",IF(P476>=O476,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S0611","Preventative Visits","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C477),IF(OR(AND(ISBLANK(D477),ISBLANK(E477)),AND(D477=\"No\",ISBLANK(E477))),\"\",IF(AND(ISBLANK(D477),ISNUMBER(E477)),Lookup!$C$11,IF(AND(D477=\"Yes\",ISBLANK(E477)),Lookup!$C$12,IF(AND(D477=\"Yes\",E477>=C477),Lookup!$C$7,IF(AND(D477=\"No\",E477>=C477),Lookup!$C$8,IF(AND(D477=\"Yes\",E477<C477),Lookup!$C$9,IF(AND(D477=\"No\",E477<C477),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G477),IF(OR(AND(ISBLANK(H477),ISBLANK(I477)),AND(H477=\"No\",ISBLANK(I477))),\"\",IF(AND(ISBLANK(H477),ISNUMBER(I477)),Lookup!$C$11,IF(AND(H477=\"Yes\",ISBLANK(I477)),Lookup!$C$12,IF(AND(H477=\"Yes\",I477>=G477),Lookup!$C$7,IF(AND(H477=\"No\",I477>=G477),Lookup!$C$8,IF(AND(H477=\"Yes\",I477<G477),Lookup!$C$9,IF(AND(H477=\"No\",I477<G477),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L477),IF(ISBLANK(M477),\"\",IF(M477>=L477,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O477),IF(ISBLANK(P477),\"\",IF(P477>=O477,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S0612","Annual Gynecological Examin Established Pt","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C478),IF(OR(AND(ISBLANK(D478),ISBLANK(E478)),AND(D478=\"No\",ISBLANK(E478))),\"\",IF(AND(ISBLANK(D478),ISNUMBER(E478)),Lookup!$C$11,IF(AND(D478=\"Yes\",ISBLANK(E478)),Lookup!$C$12,IF(AND(D478=\"Yes\",E478>=C478),Lookup!$C$7,IF(AND(D478=\"No\",E478>=C478),Lookup!$C$8,IF(AND(D478=\"Yes\",E478<C478),Lookup!$C$9,IF(AND(D478=\"No\",E478<C478),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G478),IF(OR(AND(ISBLANK(H478),ISBLANK(I478)),AND(H478=\"No\",ISBLANK(I478))),\"\",IF(AND(ISBLANK(H478),ISNUMBER(I478)),Lookup!$C$11,IF(AND(H478=\"Yes\",ISBLANK(I478)),Lookup!$C$12,IF(AND(H478=\"Yes\",I478>=G478),Lookup!$C$7,IF(AND(H478=\"No\",I478>=G478),Lookup!$C$8,IF(AND(H478=\"Yes\",I478<G478),Lookup!$C$9,IF(AND(H478=\"No\",I478<G478),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L478),IF(ISBLANK(M478),\"\",IF(M478>=L478,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O478),IF(ISBLANK(P478),\"\",IF(P478>=O478,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S0613","Annual Breast Exam","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C479),IF(OR(AND(ISBLANK(D479),ISBLANK(E479)),AND(D479=\"No\",ISBLANK(E479))),\"\",IF(AND(ISBLANK(D479),ISNUMBER(E479)),Lookup!$C$11,IF(AND(D479=\"Yes\",ISBLANK(E479)),Lookup!$C$12,IF(AND(D479=\"Yes\",E479>=C479),Lookup!$C$7,IF(AND(D479=\"No\",E479>=C479),Lookup!$C$8,IF(AND(D479=\"Yes\",E479<C479),Lookup!$C$9,IF(AND(D479=\"No\",E479<C479),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G479),IF(OR(AND(ISBLANK(H479),ISBLANK(I479)),AND(H479=\"No\",ISBLANK(I479))),\"\",IF(AND(ISBLANK(H479),ISNUMBER(I479)),Lookup!$C$11,IF(AND(H479=\"Yes\",ISBLANK(I479)),Lookup!$C$12,IF(AND(H479=\"Yes\",I479>=G479),Lookup!$C$7,IF(AND(H479=\"No\",I479>=G479),Lookup!$C$8,IF(AND(H479=\"Yes\",I479<G479),Lookup!$C$9,IF(AND(H479=\"No\",I479<G479),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L479),IF(ISBLANK(M479),\"\",IF(M479>=L479,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O479),IF(ISBLANK(P479),\"\",IF(P479>=O479,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S0622","Phys Exam For College","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C480),IF(OR(AND(ISBLANK(D480),ISBLANK(E480)),AND(D480=\"No\",ISBLANK(E480))),\"\",IF(AND(ISBLANK(D480),ISNUMBER(E480)),Lookup!$C$11,IF(AND(D480=\"Yes\",ISBLANK(E480)),Lookup!$C$12,IF(AND(D480=\"Yes\",E480>=C480),Lookup!$C$7,IF(AND(D480=\"No\",E480>=C480),Lookup!$C$8,IF(AND(D480=\"Yes\",E480<C480),Lookup!$C$9,IF(AND(D480=\"No\",E480<C480),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G480),IF(OR(AND(ISBLANK(H480),ISBLANK(I480)),AND(H480=\"No\",ISBLANK(I480))),\"\",IF(AND(ISBLANK(H480),ISNUMBER(I480)),Lookup!$C$11,IF(AND(H480=\"Yes\",ISBLANK(I480)),Lookup!$C$12,IF(AND(H480=\"Yes\",I480>=G480),Lookup!$C$7,IF(AND(H480=\"No\",I480>=G480),Lookup!$C$8,IF(AND(H480=\"Yes\",I480<G480),Lookup!$C$9,IF(AND(H480=\"No\",I480<G480),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L480),IF(ISBLANK(M480),\"\",IF(M480>=L480,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O480),IF(ISBLANK(P480),\"\",IF(P480>=O480,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9083","Primary Care At Urgent Care","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C481),IF(OR(AND(ISBLANK(D481),ISBLANK(E481)),AND(D481=\"No\",ISBLANK(E481))),\"\",IF(AND(ISBLANK(D481),ISNUMBER(E481)),Lookup!$C$11,IF(AND(D481=\"Yes\",ISBLANK(E481)),Lookup!$C$12,IF(AND(D481=\"Yes\",E481>=C481),Lookup!$C$7,IF(AND(D481=\"No\",E481>=C481),Lookup!$C$8,IF(AND(D481=\"Yes\",E481<C481),Lookup!$C$9,IF(AND(D481=\"No\",E481<C481),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G481),IF(OR(AND(ISBLANK(H481),ISBLANK(I481)),AND(H481=\"No\",ISBLANK(I481))),\"\",IF(AND(ISBLANK(H481),ISNUMBER(I481)),Lookup!$C$11,IF(AND(H481=\"Yes\",ISBLANK(I481)),Lookup!$C$12,IF(AND(H481=\"Yes\",I481>=G481),Lookup!$C$7,IF(AND(H481=\"No\",I481>=G481),Lookup!$C$8,IF(AND(H481=\"Yes\",I481<G481),Lookup!$C$9,IF(AND(H481=\"No\",I481<G481),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L481),IF(ISBLANK(M481),\"\",IF(M481>=L481,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O481),IF(ISBLANK(P481),\"\",IF(P481>=O481,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9117","Back To School Visits","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C482),IF(OR(AND(ISBLANK(D482),ISBLANK(E482)),AND(D482=\"No\",ISBLANK(E482))),\"\",IF(AND(ISBLANK(D482),ISNUMBER(E482)),Lookup!$C$11,IF(AND(D482=\"Yes\",ISBLANK(E482)),Lookup!$C$12,IF(AND(D482=\"Yes\",E482>=C482),Lookup!$C$7,IF(AND(D482=\"No\",E482>=C482),Lookup!$C$8,IF(AND(D482=\"Yes\",E482<C482),Lookup!$C$9,IF(AND(D482=\"No\",E482<C482),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G482),IF(OR(AND(ISBLANK(H482),ISBLANK(I482)),AND(H482=\"No\",ISBLANK(I482))),\"\",IF(AND(ISBLANK(H482),ISNUMBER(I482)),Lookup!$C$11,IF(AND(H482=\"Yes\",ISBLANK(I482)),Lookup!$C$12,IF(AND(H482=\"Yes\",I482>=G482),Lookup!$C$7,IF(AND(H482=\"No\",I482>=G482),Lookup!$C$8,IF(AND(H482=\"Yes\",I482<G482),Lookup!$C$9,IF(AND(H482=\"No\",I482<G482),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L482),IF(ISBLANK(M482),\"\",IF(M482>=L482,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O482),IF(ISBLANK(P482),\"\",IF(P482>=O482,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9445","Pt Education Not Classified Individ","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C483),IF(OR(AND(ISBLANK(D483),ISBLANK(E483)),AND(D483=\"No\",ISBLANK(E483))),\"\",IF(AND(ISBLANK(D483),ISNUMBER(E483)),Lookup!$C$11,IF(AND(D483=\"Yes\",ISBLANK(E483)),Lookup!$C$12,IF(AND(D483=\"Yes\",E483>=C483),Lookup!$C$7,IF(AND(D483=\"No\",E483>=C483),Lookup!$C$8,IF(AND(D483=\"Yes\",E483<C483),Lookup!$C$9,IF(AND(D483=\"No\",E483<C483),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G483),IF(OR(AND(ISBLANK(H483),ISBLANK(I483)),AND(H483=\"No\",ISBLANK(I483))),\"\",IF(AND(ISBLANK(H483),ISNUMBER(I483)),Lookup!$C$11,IF(AND(H483=\"Yes\",ISBLANK(I483)),Lookup!$C$12,IF(AND(H483=\"Yes\",I483>=G483),Lookup!$C$7,IF(AND(H483=\"No\",I483>=G483),Lookup!$C$8,IF(AND(H483=\"Yes\",I483<G483),Lookup!$C$9,IF(AND(H483=\"No\",I483<G483),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L483),IF(ISBLANK(M483),\"\",IF(M483>=L483,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O483),IF(ISBLANK(P483),\"\",IF(P483>=O483,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9446","Pt Education Not Classified Group","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C484),IF(OR(AND(ISBLANK(D484),ISBLANK(E484)),AND(D484=\"No\",ISBLANK(E484))),\"\",IF(AND(ISBLANK(D484),ISNUMBER(E484)),Lookup!$C$11,IF(AND(D484=\"Yes\",ISBLANK(E484)),Lookup!$C$12,IF(AND(D484=\"Yes\",E484>=C484),Lookup!$C$7,IF(AND(D484=\"No\",E484>=C484),Lookup!$C$8,IF(AND(D484=\"Yes\",E484<C484),Lookup!$C$9,IF(AND(D484=\"No\",E484<C484),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G484),IF(OR(AND(ISBLANK(H484),ISBLANK(I484)),AND(H484=\"No\",ISBLANK(I484))),\"\",IF(AND(ISBLANK(H484),ISNUMBER(I484)),Lookup!$C$11,IF(AND(H484=\"Yes\",ISBLANK(I484)),Lookup!$C$12,IF(AND(H484=\"Yes\",I484>=G484),Lookup!$C$7,IF(AND(H484=\"No\",I484>=G484),Lookup!$C$8,IF(AND(H484=\"Yes\",I484<G484),Lookup!$C$9,IF(AND(H484=\"No\",I484<G484),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L484),IF(ISBLANK(M484),\"\",IF(M484>=L484,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O484),IF(ISBLANK(P484),\"\",IF(P484>=O484,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9449","Weight Mgmt Class Non-Phys Provider","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C485),IF(OR(AND(ISBLANK(D485),ISBLANK(E485)),AND(D485=\"No\",ISBLANK(E485))),\"\",IF(AND(ISBLANK(D485),ISNUMBER(E485)),Lookup!$C$11,IF(AND(D485=\"Yes\",ISBLANK(E485)),Lookup!$C$12,IF(AND(D485=\"Yes\",E485>=C485),Lookup!$C$7,IF(AND(D485=\"No\",E485>=C485),Lookup!$C$8,IF(AND(D485=\"Yes\",E485<C485),Lookup!$C$9,IF(AND(D485=\"No\",E485<C485),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G485),IF(OR(AND(ISBLANK(H485),ISBLANK(I485)),AND(H485=\"No\",ISBLANK(I485))),\"\",IF(AND(ISBLANK(H485),ISNUMBER(I485)),Lookup!$C$11,IF(AND(H485=\"Yes\",ISBLANK(I485)),Lookup!$C$12,IF(AND(H485=\"Yes\",I485>=G485),Lookup!$C$7,IF(AND(H485=\"No\",I485>=G485),Lookup!$C$8,IF(AND(H485=\"Yes\",I485<G485),Lookup!$C$9,IF(AND(H485=\"No\",I485<G485),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L485),IF(ISBLANK(M485),\"\",IF(M485>=L485,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O485),IF(ISBLANK(P485),\"\",IF(P485>=O485,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9451","Exercise Class Non-Phys Provider","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C486),IF(OR(AND(ISBLANK(D486),ISBLANK(E486)),AND(D486=\"No\",ISBLANK(E486))),\"\",IF(AND(ISBLANK(D486),ISNUMBER(E486)),Lookup!$C$11,IF(AND(D486=\"Yes\",ISBLANK(E486)),Lookup!$C$12,IF(AND(D486=\"Yes\",E486>=C486),Lookup!$C$7,IF(AND(D486=\"No\",E486>=C486),Lookup!$C$8,IF(AND(D486=\"Yes\",E486<C486),Lookup!$C$9,IF(AND(D486=\"No\",E486<C486),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G486),IF(OR(AND(ISBLANK(H486),ISBLANK(I486)),AND(H486=\"No\",ISBLANK(I486))),\"\",IF(AND(ISBLANK(H486),ISNUMBER(I486)),Lookup!$C$11,IF(AND(H486=\"Yes\",ISBLANK(I486)),Lookup!$C$12,IF(AND(H486=\"Yes\",I486>=G486),Lookup!$C$7,IF(AND(H486=\"No\",I486>=G486),Lookup!$C$8,IF(AND(H486=\"Yes\",I486<G486),Lookup!$C$9,IF(AND(H486=\"No\",I486<G486),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L486),IF(ISBLANK(M486),\"\",IF(M486>=L486,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O486),IF(ISBLANK(P486),\"\",IF(P486>=O486,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9452","Nutrition Classes Non-Phys Provider","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C487),IF(OR(AND(ISBLANK(D487),ISBLANK(E487)),AND(D487=\"No\",ISBLANK(E487))),\"\",IF(AND(ISBLANK(D487),ISNUMBER(E487)),Lookup!$C$11,IF(AND(D487=\"Yes\",ISBLANK(E487)),Lookup!$C$12,IF(AND(D487=\"Yes\",E487>=C487),Lookup!$C$7,IF(AND(D487=\"No\",E487>=C487),Lookup!$C$8,IF(AND(D487=\"Yes\",E487<C487),Lookup!$C$9,IF(AND(D487=\"No\",E487<C487),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G487),IF(OR(AND(ISBLANK(H487),ISBLANK(I487)),AND(H487=\"No\",ISBLANK(I487))),\"\",IF(AND(ISBLANK(H487),ISNUMBER(I487)),Lookup!$C$11,IF(AND(H487=\"Yes\",ISBLANK(I487)),Lookup!$C$12,IF(AND(H487=\"Yes\",I487>=G487),Lookup!$C$7,IF(AND(H487=\"No\",I487>=G487),Lookup!$C$8,IF(AND(H487=\"Yes\",I487<G487),Lookup!$C$9,IF(AND(H487=\"No\",I487<G487),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L487),IF(ISBLANK(M487),\"\",IF(M487>=L487,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O487),IF(ISBLANK(P487),\"\",IF(P487>=O487,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["S9454","Stress Management Classes Non-Phys Provider","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C488),IF(OR(AND(ISBLANK(D488),ISBLANK(E488)),AND(D488=\"No\",ISBLANK(E488))),\"\",IF(AND(ISBLANK(D488),ISNUMBER(E488)),Lookup!$C$11,IF(AND(D488=\"Yes\",ISBLANK(E488)),Lookup!$C$12,IF(AND(D488=\"Yes\",E488>=C488),Lookup!$C$7,IF(AND(D488=\"No\",E488>=C488),Lookup!$C$8,IF(AND(D488=\"Yes\",E488<C488),Lookup!$C$9,IF(AND(D488=\"No\",E488<C488),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G488),IF(OR(AND(ISBLANK(H488),ISBLANK(I488)),AND(H488=\"No\",ISBLANK(I488))),\"\",IF(AND(ISBLANK(H488),ISNUMBER(I488)),Lookup!$C$11,IF(AND(H488=\"Yes\",ISBLANK(I488)),Lookup!$C$12,IF(AND(H488=\"Yes\",I488>=G488),Lookup!$C$7,IF(AND(H488=\"No\",I488>=G488),Lookup!$C$8,IF(AND(H488=\"Yes\",I488<G488),Lookup!$C$9,IF(AND(H488=\"No\",I488<G488),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L488),IF(ISBLANK(M488),\"\",IF(M488>=L488,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O488),IF(ISBLANK(P488),\"\",IF(P488>=O488,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]
["T1015","Clinic Service All-Inclusive","No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(C489),IF(OR(AND(ISBLANK(D489),ISBLANK(E489)),AND(D489=\"No\",ISBLANK(E489))),\"\",IF(AND(ISBLANK(D489),ISNUMBER(E489)),Lookup!$C$11,IF(AND(D489=\"Yes\",ISBLANK(E489)),Lookup!$C$12,IF(AND(D489=\"Yes\",E489>=C489),Lookup!$C$7,IF(AND(D489=\"No\",E489>=C489),Lookup!$C$8,IF(AND(D489=\"Yes\",E489<C489),Lookup!$C$9,IF(AND(D489=\"No\",E489<C489),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,null,{"$f":"IF(ISNUMBER(G489),IF(OR(AND(ISBLANK(H489),ISBLANK(I489)),AND(H489=\"No\",ISBLANK(I489))),\"\",IF(AND(ISBLANK(H489),ISNUMBER(I489)),Lookup!$C$11,IF(AND(H489=\"Yes\",ISBLANK(I489)),Lookup!$C$12,IF(AND(H489=\"Yes\",I489>=G489),Lookup!$C$7,IF(AND(H489=\"No\",I489>=G489),Lookup!$C$8,IF(AND(H489=\"Yes\",I489<G489),Lookup!$C$9,IF(AND(H489=\"No\",I489<G489),Lookup!$C$10,\"UnknownCase\"))))))),Lookup!$C$13)","v":"No Medicare Fee Available"},null,"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(L489),IF(ISBLANK(M489),\"\",IF(M489>=L489,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"},"No Medicare Fee Available",null,{"$f":"IF(ISNUMBER(O489),IF(ISBLANK(P489),\"\",IF(P489>=O489,Lookup!$C$14,Lookup!$C$15)),Lookup!$C$13)","v":"No Medicare Fee Available"}]

{"sheet":"2a. Medicare Parity FFS UP","index":3,"n_rows":203,"n_cols":12,"rows_kept":203,"cut":false,"hidden":false,"merged":[[2,2,2,11],[3,2,3,6],[3,7,3,11]]}
["Please Indicate Market Segment: "]
[null,null,null,null,"Total Potential Underpayment (Facility)",{"$f":"SUM($F$6:$F$1048576)","v":0},null,null,null,"Total Potential Underpayment (Non-Facility)",{"$f":"SUM($K$6:$K$1048576)","v":0}]
[null,null,2024]
[null,null,"Facility Price",null,null,null,null,"Non-Facility Price"]
["Code","Description","Medicare Fee for Delaware (Non-Facility) ","Allowed Amount ","Utilization","Potential Underpayment","Business Rule or Other Explanation Re: Column D lower than Medicare","Medicare Fee for Delaware (Non-Facility) ","Allowed Amount","Utilization","Potential Underpayment","Business Rule or Other Explanation Re: Column I lower than Medicare"]
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[null,{"$f":"IFERROR(VLOOKUP(A8,'2. Medicare Parity FFS'!$A$4:$G$998,2,0),\"\")","v":""},{"$f":"IFERROR(VLOOKUP(A8,'2. Medicare Parity FFS'!$A$4:$G$998,3,0),\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(C8),IF(AND(ISBLANK(D8),ISBLANK(E8)),\"\",IF(ISBLANK(D8),Lookup!$C$16,IF(D8>=C8,0,(C8-D8)*E8))),0)","v":0},null,{"$f":"IFERROR(VLOOKUP(A8,'2. Medicare Parity FFS'!$A$4:$G$998,7,0),\"\")","v":""},null,null,{"$f":"IF(ISNUMBER(H8),IF(AND(ISBLANK(I8),ISBLANK(J8)),\"\",IF(ISBLANK(I8),Lookup!$C$16,IF(I8>=H8,0,(H8-I8)*J8))),0)","v":0}]
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{"sheet":"2b. Medicare Parity NonFFS","index":4,"n_rows":6,"n_cols":3,"rows_kept":6,"cut":false,"hidden":false,"merged":[]}
["Please Report all Market Segments Combined"]
[]
["Question Number","Question","Response "]
[1,"Does your organization's list of providers participating in care transformation include all practices participating in your organization's primary care incentive programs, the National Committee for Quality Assurance Patient-Centered Medical Home certification program, and Primary Care First (PCF)?"]
[2,"If no to question 1, please explain."]
[3,"Do you plan to participate in the Delaware Primary Care Model?"]

{"sheet":"3. PC %Spend DE Attributed Memb","index":5,"n_rows":75,"n_cols":30,"rows_kept":75,"cut":false,"hidden":false,"merged":[[39,2,39,9],[41,2,41,4],[41,7,41,9],[2,2,2,21],[4,2,4,5],[4,7,4,10],[4,12,4,13],[4,15,4,18],[4,20,4,21]]}
["Please Indicate Market Segment: "]
["Reminder: Please use OVBHCD Primary Care definition"]
[null,null,"HISTORICAL"]
[]
[null,null,"CY 2022",null,null,null,null,"CY 2023",null,null,null,null,"CY 2023 / CY 2022",null,null,"CY 2024",null,null,null,null,"CY 2024 / CY 2023",null,null,null,null,"CY 2022",null,"CY 2023",null,"CY 2024"]
[null,null,"Completed and Incurred ($)","Completed and Incurred PMPM","Allowed ($)","Allowed PMPM",null,"Completed and Incurred ($)","Completed and Incurred PMPM","Allowed ($)","Allowed PMPM",null,"Completed and Incurred PMPM Trend","Allowed PMPM Trend",null,"Completed and Incurred ($)","Completed and Incurred PMPM","Allowed ($)","Allowed PMPM",null,"Completed and Incurred PMPM Trend","Allowed PMPM Trend",null,null,null,"Aggregate Utilization",null,"Aggregate Utilization",null,"Aggregate Utilization"]
[null,"Inpatient Hospital",null,{"$f":"IF($E$38=0,0,C7/$E$38)","v":0},null,{"$f":"IF($E$38=0,0,E7/$E$38)","v":0},null,null,{"$f":"IF($J$38=0,0,H7/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J7/$J$38)","v":0},null,{"$f":"IF(D7=0,0,I7/D7-1)","v":0},{"$f":"IF(F7=0,0,K7/F7-1)","v":0},null,null,{"$f":"IF($R$38=0,0,P7/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R7/$R$38)","v":0},null,{"$f":"IF(I7=0,0,Q7/I7-1)","v":0},{"$f":"IF(K7=0,0,S7/K7-1)","v":0},null,null,"Primary Care (Professional)"]
[null,"Outpatient Hospital",null,{"$f":"IF($E$38=0,0,C8/$E$38)","v":0},null,0,null,null,{"$f":"IF($J$38=0,0,H8/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J8/$J$38)","v":0},null,{"$f":"IF(D8=0,0,I8/D8-1)","v":0},{"$f":"IF(F8=0,0,K8/F8-1)","v":0},null,null,{"$f":"IF($R$38=0,0,P8/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R8/$R$38)","v":0},null,{"$f":"IF(I8=0,0,Q8/I8-1)","v":0},{"$f":"IF(K8=0,0,S8/K8-1)","v":0}]
[null,"Professional",null,0,null,0,null,null,{"$f":"IF($J$38=0,0,H9/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J9/$J$38)","v":0},null,0,0,null,null,{"$f":"IF($R$38=0,0,P9/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R9/$R$38)","v":0},null,0,0]
[null,"Other Medical",null,0,null,0,null,null,{"$f":"IF($J$38=0,0,H10/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J10/$J$38)","v":0},null,0,0,null,null,{"$f":"IF($R$38=0,0,P10/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R10/$R$38)","v":0},null,0,0]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",null,{"$f":"IF($E$38=0,0,C14/$E$38)","v":0},null,0,null,null,{"$f":"IF($J$38=0,0,H14/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J14/$J$38)","v":0},null,{"$f":"IF(D14=0,0,I14/D14-1)","v":0},{"$f":"IF(F14=0,0,K14/F14-1)","v":0},null,null,{"$f":"IF($R$38=0,0,P14/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R14/$R$38)","v":0},null,{"$f":"IF(I14=0,0,Q14/I14-1)","v":0},{"$f":"IF(K14=0,0,S14/K14-1)","v":0}]
[null,"  Incentive Programs for Services Other than Primary Care",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Primary Care Capitation",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Capitation for Services Other than Primary Care",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Risk Settlements (Net) to Support Primary Care Services",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Risk Settlements (Net) to Support Services Other than Primary Care ",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Primary Care, Care Management",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Care Management other than for Primary Care",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"  Other, Primary Care ",null,0,null,0,null,null,0,null,0,null,0,0,null,0,0,null,0,null,0,0]
[null,"  Other, Non-Primary Care ",null,0,null,0,null,null,0,null,0,null,0,0,null,null,0,null,0,null,0,0]
[null,"Total Capitation",{"$f":"SUM(C14:C23)","v":0},0,{"$f":"SUM(E14:E23)","v":0},0,null,{"$f":"SUM(H14:H23)","v":0},0,{"$f":"SUM(J14:J23)","v":0},0,null,0,0,null,{"$f":"SUM(P14:P23)","v":0},0,{"$f":"SUM(R14:R23)","v":0},0,null,0,0]
[]
[null,"Prescription Drug",null,{"$f":"IF($E$38=0,0,C26/$E$38)","v":0},null,0,null,null,{"$f":"IF($J$38=0,0,H26/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J26/$J$38)","v":0},null,{"$f":"IF(D26=0,0,I26/D26-1)","v":0},{"$f":"IF(F26=0,0,K26/F26-1)","v":0},null,null,{"$f":"IF($R$38=0,0,P26/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R26/$R$38)","v":0},null,{"$f":"IF(I26=0,0,Q26/I26-1)","v":0},{"$f":"IF(K26=0,0,S26/K26-1)","v":0}]
[]
[null,"Total",{"$f":"C26+C24+SUM(C7:C10)","v":0},{"$f":"IF($E$38=0,0,C28/$E$38)","v":0},{"$f":"E26+E24+SUM(E7:E10)","v":0},0,null,{"$f":"H26+H24+SUM(H7:H10)","v":0},{"$f":"IF($J$38=0,0,H28/$J$38)","v":0},{"$f":"J26+J24+SUM(J7:J10)","v":0},{"$f":"IF($J$38=0,0,J28/$J$38)","v":0},null,{"$f":"IF(D28=0,0,I28/D28-1)","v":0},{"$f":"IF(F28=0,0,K28/F28-1)","v":0},null,{"$f":"P26+P24+SUM(P7:P10)","v":0},{"$f":"IF($R$38=0,0,P28/$R$38)","v":0},{"$f":"R26+R24+SUM(R7:R10)","v":0},{"$f":"IF($R$38=0,0,R28/$R$38)","v":0},null,{"$f":"IF(I28=0,0,Q28/I28-1)","v":0},{"$f":"IF(K28=0,0,S28/K28-1)","v":0}]
[]
[null,"Primary Care"]
[null,"Primary Care (Professional, Claims)",null,{"$f":"IF($E$38=0,0,C31/$E$38)","v":0},null,0,{"$f":"IF(E31>E9,Lookup!$B$33,\"\")","v":""},null,{"$f":"IF($J$38=0,0,H31/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J31/$J$38)","v":0},{"$f":"IF(J31>J9,Lookup!$B$33,\"\")","v":""},{"$f":"IF(D31=0,0,I31/D31-1)","v":0},{"$f":"IF(F31=0,0,K31/F31-1)","v":0},null,null,{"$f":"IF($R$38=0,0,P31/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R31/$R$38)","v":0},{"$f":"IF(R31>R9,Lookup!$B$33,\"\")","v":""},{"$f":"IF(I31=0,0,Q31/I31-1)","v":0},{"$f":"IF(K31=0,0,S31/K31-1)","v":0}]
[null,"Primary Care (Facility, Claims)",null,0,null,0,null,null,{"$f":"IF($J$38=0,0,H32/$J$38)","v":0},null,{"$f":"IF($J$38=0,0,J32/$J$38)","v":0},null,0,0,null,null,{"$f":"IF($R$38=0,0,P32/$R$38)","v":0},null,{"$f":"IF($R$38=0,0,R32/$R$38)","v":0},null,0,0]
[null,"Primary Care (Non-Claims)",{"$f":"C14+C16+C18+C20+C22","v":0},0,{"$f":"E14+E16+E18+E20+E22","v":0},0,null,{"$f":"H14+H16+H18+H20+H22","v":0},{"$f":"IF($J$38=0,0,H33/$J$38)","v":0},{"$f":"J14+J16+J18+J20+J22","v":0},{"$f":"IF($J$38=0,0,J33/$J$38)","v":0},null,0,0,null,{"$f":"P14+P16+P18+P20+P22","v":0},{"$f":"IF($R$38=0,0,P33/$R$38)","v":0},{"$f":"R14+R16+R18+R20+R22","v":0},{"$f":"IF($R$38=0,0,R33/$R$38)","v":0},null,0,0]
[null,"Primary Care (Total)",{"$f":"SUM(C31:C33)","v":0},0,{"$f":"SUM(E31:E33)","v":0},0,null,{"$f":"SUM(H31:H33)","v":0},{"$f":"IF($J$38=0,0,H34/$J$38)","v":0},{"$f":"SUM(J31:J33)","v":0},{"$f":"IF($J$38=0,0,J34/$J$38)","v":0},null,0,0,null,{"$f":"SUM(P31:P33)","v":0},{"$f":"IF($R$38=0,0,P34/$R$38)","v":0},{"$f":"SUM(R31:R33)","v":0},{"$f":"IF($R$38=0,0,R34/$R$38)","v":0},null,0,0]
[]
[null,"Primary Care % of Medical",null,null,null,{"$f":"IFERROR((F34/(F28-F26)),0)","v":0},null,null,null,null,{"$f":"IFERROR((K34/(K28-K26)),0)","v":0},null,null,null,null,null,null,null,{"$f":"IFERROR((S34/(S28-S26)),0)","v":0}]
[]
[null,"Member Months"]
[]
[null,null,"PROJECTED"]
[]
[null,null,"CY 2025",null,null,null,null,"CY 2026"]
[null,null,"Allowed ($)","Allowed PMPM","Allowed PMPM Trend (CY 2024 / CY 2023)",null,null,"Allowed ($)","Allowed PMPM","Allowed PMPM Trend (CY 2025 / CY 2024)"]
[null,"Inpatient Hospital",{"$f":"D44*$C$75","v":0},null,{"$f":"IF(S7=0,0,+D44/S7-1)","v":0},null,null,{"$f":"I44*$H$75","v":0},null,{"$f":"IF(D44=0,0,I44/D44-1)","v":0}]
[null,"Outpatient Hospital",{"$f":"D45*$C$75","v":0},null,{"$f":"IF(S8=0,0,+D45/S8-1)","v":0},null,null,{"$f":"I45*$H$75","v":0},null,{"$f":"IF(D45=0,0,I45/D45-1)","v":0}]
[null,"Professional",{"$f":"D46*$C$75","v":0},null,{"$f":"IF(S9=0,0,+D46/S9-1)","v":0},null,null,{"$f":"I46*$H$75","v":0},null,0]
[null,"Other Medical",{"$f":"D47*$C$75","v":0},null,{"$f":"IF(S10=0,0,+D47/S10-1)","v":0},null,null,{"$f":"I47*$H$75","v":0},null,0]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",{"$f":"D51*$C$75","v":0},null,{"$f":"IF(S14=0,0,+D51/S14-1)","v":0},null,null,{"$f":"I51*$H$75","v":0},null,{"$f":"IF(D51=0,0,I51/D51-1)","v":0}]
[null,"  Incentive Programs for Services Other than Primary Care",0,null,0,null,null,0,null,0]
[null,"  Primary Care Capitation",0,null,0,null,null,0,null,0]
[null,"  Capitation for Services Other than Primary Care",0,null,0,null,null,0,null,0]
[null,"  Risk Settlements (Net) to Support Primary Care Services",0,null,0,null,null,0,null,0]
[null,"  Risk Settlements (Net) to Support Services Other than Primary Care ",0,null,0,null,null,0,null,0]
[null,"  Primary Care, Care Management",0,null,0,null,null,0,null,0]
[null,"  Care Management other than for Primary Care",0,null,0,null,null,0,null,0]
[null,"  Other, Primary Care ",0,null,0,null,null,0,null,0]
[null,"  Other, Non-Primary Care ",0,null,0,null,null,0,null,0]
[null,"Total Capitation",{"$f":"SUM(C51:C54,C55:C60)","v":0},{"$f":"SUM(D51:D60)","v":0},0,null,null,{"$f":"SUM(H51:H54,H55:H60)","v":0},{"$f":"SUM(I51:I60)","v":0},0]
[]
[null,"Prescription Drug",{"$f":"D63*$C$75","v":0},null,{"$f":"IF(S26=0,0,+D63/S26-1)","v":0},null,null,{"$f":"I63*$H$75","v":0},null,{"$f":"IF(D63=0,0,I63/D63-1)","v":0}]
[]
[null,"Total",{"$f":"SUM(C44:C47,C61,C63)","v":0},{"$f":"D63+D61+SUM(D44:D47)","v":0},{"$f":"IF(S28=0,0,+D65/S28-1)","v":0},null,null,{"$f":"SUM(H44:H47,H61,H63)","v":0},{"$f":"I63+I61+SUM(I44:I47)","v":0},{"$f":"IF(D65=0,0,I65/D65-1)","v":0}]
[]
[null,"Primary Care"]
[null,"Primary Care (Professional, Claims)",{"$f":"D68*$C$75","v":0},null,{"$f":"IF(S31=0,0,+D68/S31-1)","v":0},{"$f":"IF(D68>D46,Lookup!$B$33,\"\")","v":""},null,{"$f":"I68*$H$75","v":0},null,{"$f":"IF(D68=0,0,I68/D68-1)","v":0},{"$f":"IF(I68>I46,Lookup!$B$33,\"\")","v":""}]
[null,"Primary Care (Facility, Claims)",{"$f":"D69*$C$75","v":0},null,{"$f":"IF(S32=0,0,+D69/S32-1)","v":0},null,null,{"$f":"I69*$H$75","v":0},null,0]
[null,"Primary Care (Non-Claims)",{"$f":"D70*$C$75","v":0},{"$f":"D51+D53+D55+D57+D59","v":0},{"$f":"IF(S33=0,0,+D70/S33-1)","v":0},null,null,{"$f":"I70*$H$75","v":0},{"$f":"I51+I53+I55+I57+I59","v":0},0]
[null,"Primary Care (Total)",{"$f":"SUM(C68:C70)","v":0},{"$f":"SUM(D68:D70)","v":0},{"$f":"IF(S34=0,0,+D71/S34-1)","v":0},null,null,{"$f":"SUM(H68:H70)","v":0},{"$f":"SUM(I68:I70)","v":0},0]
[]
[null,"Primary Care % of Medical",null,{"$f":"IFERROR((D71/(D65-D63)),0)","v":0},null,null,null,null,{"$f":"IFERROR((I71/(I65-I63)),0)","v":0}]
[]
[null,"Member Months"]

{"sheet":"3a. PC % Spend All Members","index":6,"n_rows":75,"n_cols":37,"rows_kept":75,"cut":false,"hidden":false,"merged":[[41,2,41,4],[41,10,41,12],[2,2,2,28],[4,2,4,5],[4,10,4,13],[4,17,4,18],[4,20,4,23],[4,27,4,28],[39,2,39,15]]}
[null,"Please Indicate Market Segment: "]
[null,"Reminder: Please use OVBHCD Primary Care definition"]
[null,null,"HISTORICAL"]
[]
[null,null,"CY 2022",null,null,null,null,"CY 2022 Allowed",null,null,"CY 2023",null,null,null,null,"CY 2023 Allowed",null,"CY 2023 / CY 2022",null,null,"CY 2024",null,null,null,null,"CY 2024 Allowed",null,"CY 2024 / CY 2023",null,null,null,null,"CY 2022",null,"CY 2023",null,"CY 2024"]
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[null,"Outpatient Hospital",null,{"$f":"IF($E$38=0,0,C8/$E$38)","v":0},null,{"$f":"IF($E$38=0,0,E8/$E$38)","v":0},null,{"$f":"IF(E8>='3. PC %Spend DE Attributed Memb'!E8,\"\",Lookup!$B$32)","v":""},null,null,null,{"$f":"IF($M$38=0,0,K8/$M$38)","v":0},null,{"$f":"IF($M$38=0,0,M8/$M$38)","v":0},null,{"$f":"IF(M8>='3. PC %Spend DE Attributed Memb'!J8,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(D8=0,0,L8/D8-1)","v":0},{"$f":"IF(F8=0,0,N8/F8-1)","v":0},null,null,{"$f":"IF($W$38=0,0,U8/$W$38)","v":0},null,{"$f":"IF($W$38=0,0,W8/$W$38)","v":0},null,{"$f":"IF(W8>='3. PC %Spend DE Attributed Memb'!R8,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(L8=0,0,V8/L8-1)","v":0},{"$f":"IF(N8=0,0,X8/N8-1)","v":0}]
[null,"Professional",null,0,null,0,null,{"$f":"IF(E9>='3. PC %Spend DE Attributed Memb'!E9,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,{"$f":"IF($M$38=0,0,M9/$M$38)","v":0},null,{"$f":"IF(M9>='3. PC %Spend DE Attributed Memb'!J9,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,{"$f":"IF($W$38=0,0,W9/$W$38)","v":0},null,{"$f":"IF(W9>='3. PC %Spend DE Attributed Memb'!R9,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"Other Medical",null,0,null,0,null,{"$f":"IF(E10>='3. PC %Spend DE Attributed Memb'!E10,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,{"$f":"IF($M$38=0,0,M10/$M$38)","v":0},null,{"$f":"IF(M10>='3. PC %Spend DE Attributed Memb'!J10,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,{"$f":"IF($W$38=0,0,W10/$W$38)","v":0},null,{"$f":"IF(W10>='3. PC %Spend DE Attributed Memb'!R10,\"\",Lookup!$B$32)","v":""},null,0,0]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",null,{"$f":"IF($E$38=0,0,C14/$E$38)","v":0},null,{"$f":"IF($E$38=0,0,E14/$E$38)","v":0},null,{"$f":"IF(E14>='3. PC %Spend DE Attributed Memb'!E14,\"\",Lookup!$B$32)","v":""},null,null,null,{"$f":"IF($M$38=0,0,K14/$M$38)","v":0},null,{"$f":"IF($M$38=0,0,M14/$M$38)","v":0},null,{"$f":"IF(M14>='3. PC %Spend DE Attributed Memb'!J14,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(D14=0,0,L14/D14-1)","v":0},{"$f":"IF(F14=0,0,N14/F14-1)","v":0},null,null,{"$f":"IF($W$38=0,0,U14/$W$38)","v":0},null,{"$f":"IF($W$38=0,0,W14/$W$38)","v":0},null,{"$f":"IF(W14>='3. PC %Spend DE Attributed Memb'!R14,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(L14=0,0,V14/L14-1)","v":0},{"$f":"IF(N14=0,0,X14/N14-1)","v":0}]
[null,"  Incentive Programs for Services Other than Primary Care",null,0,null,0,null,{"$f":"IF(E15>='3. PC %Spend DE Attributed Memb'!E15,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M15>='3. PC %Spend DE Attributed Memb'!J15,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W15>='3. PC %Spend DE Attributed Memb'!R15,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Primary Care Capitation",null,0,null,0,null,{"$f":"IF(E16>='3. PC %Spend DE Attributed Memb'!E16,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M16>='3. PC %Spend DE Attributed Memb'!J16,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W16>='3. PC %Spend DE Attributed Memb'!R16,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Capitation for Services Other than Primary Care",null,0,null,0,null,{"$f":"IF(E17>='3. PC %Spend DE Attributed Memb'!E17,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M17>='3. PC %Spend DE Attributed Memb'!J17,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W17>='3. PC %Spend DE Attributed Memb'!R17,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Risk Settlements (Net) to Support Primary Care Services",null,0,null,0,null,{"$f":"IF(E18>='3. PC %Spend DE Attributed Memb'!E18,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M18>='3. PC %Spend DE Attributed Memb'!J18,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W18>='3. PC %Spend DE Attributed Memb'!R18,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Risk Settlements (Net) to Support Services Other than Primary Care ",null,0,null,0,null,{"$f":"IF(E19>='3. PC %Spend DE Attributed Memb'!E19,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M19>='3. PC %Spend DE Attributed Memb'!J19,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W19>='3. PC %Spend DE Attributed Memb'!R19,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Primary Care, Care Management",null,0,null,0,null,{"$f":"IF(E20>='3. PC %Spend DE Attributed Memb'!E20,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M20>='3. PC %Spend DE Attributed Memb'!J20,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W20>='3. PC %Spend DE Attributed Memb'!R20,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Care Management other than for Primary Care",null,0,null,0,null,{"$f":"IF(E21>='3. PC %Spend DE Attributed Memb'!E21,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M21>='3. PC %Spend DE Attributed Memb'!J21,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W21>='3. PC %Spend DE Attributed Memb'!R21,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Other, Primary Care ",null,0,null,0,null,{"$f":"IF(E22>='3. PC %Spend DE Attributed Memb'!E22,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M22>='3. PC %Spend DE Attributed Memb'!J22,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W22>='3. PC %Spend DE Attributed Memb'!R22,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Other, Non-Primary Care ",null,0,null,0,null,{"$f":"IF(E23>='3. PC %Spend DE Attributed Memb'!E23,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,0,null,{"$f":"IF(M23>='3. PC %Spend DE Attributed Memb'!J23,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,0,null,{"$f":"IF(W23>='3. PC %Spend DE Attributed Memb'!R23,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"Total Capitation",{"$f":"SUM(C14:C23)","v":0},0,{"$f":"SUM(E14:E23)","v":0},0,null,{"$f":"IF(E24>='3. PC %Spend DE Attributed Memb'!E24,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"SUM(K14:K23)","v":0},0,{"$f":"SUM(M14:M23)","v":0},{"$f":"SUM(N14:N17,N18:N23)","v":0},null,{"$f":"IF(M24>='3. PC %Spend DE Attributed Memb'!J24,\"\",Lookup!$B$32)","v":""},null,0,0,null,{"$f":"SUM(U14:U23)","v":0},0,{"$f":"SUM(W14:W23)","v":0},{"$f":"SUM(X14:X17,X18:X23)","v":0},null,{"$f":"IF(W24>='3. PC %Spend DE Attributed Memb'!R24,\"\",Lookup!$B$32)","v":""},null,0,0]
[]
[null,"Prescription Drug",null,{"$f":"IF($E$38=0,0,C26/$E$38)","v":0},null,{"$f":"IF($E$38=0,0,E26/$E$38)","v":0},null,{"$f":"IF(E26>='3. PC %Spend DE Attributed Memb'!E26,\"\",Lookup!$B$32)","v":""},null,null,null,{"$f":"IF($M$38=0,0,K26/$M$38)","v":0},null,{"$f":"IF($M$38=0,0,M26/$M$38)","v":0},null,{"$f":"IF(M26>='3. PC %Spend DE Attributed Memb'!J26,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(D26=0,0,L26/D26-1)","v":0},{"$f":"IF(F26=0,0,N26/F26-1)","v":0},null,null,{"$f":"IF($W$38=0,0,U26/$W$38)","v":0},null,{"$f":"IF($W$38=0,0,W26/$W$38)","v":0},null,{"$f":"IF(W26>='3. PC %Spend DE Attributed Memb'!R26,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(L26=0,0,V26/L26-1)","v":0},{"$f":"IF(N26=0,0,X26/N26-1)","v":0}]
[]
[null,"Total",{"$f":"C26+C24+SUM(C7:C10)","v":0},{"$f":"IF($E$38=0,0,C28/$E$38)","v":0},{"$f":"E26+E24+SUM(E7:E10)","v":0},{"$f":"IF($E$38=0,0,E28/$E$38)","v":0},null,{"$f":"IF(E28>='3. PC %Spend DE Attributed Memb'!E28,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"K26+K24+SUM(K7:K10)","v":0},{"$f":"IF($M$38=0,0,K28/$M$38)","v":0},{"$f":"M26+M24+SUM(M7:M10)","v":0},{"$f":"IF($M$38=0,0,M28/$M$38)","v":0},null,{"$f":"IF(M28>='3. PC %Spend DE Attributed Memb'!J28,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(D28=0,0,L28/D28-1)","v":0},{"$f":"IF(F28=0,0,N28/F28-1)","v":0},null,{"$f":"U26+U24+SUM(U7:U10)","v":0},{"$f":"IF($W$38=0,0,U28/$W$38)","v":0},{"$f":"W26+W24+SUM(W7:W10)","v":0},{"$f":"IF($W$38=0,0,W28/$W$38)","v":0},null,{"$f":"IF(W28>='3. PC %Spend DE Attributed Memb'!R28,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(L28=0,0,V28/L28-1)","v":0},{"$f":"IF(N28=0,0,X28/N28-1)","v":0}]
[]
[null,"Primary Care",null,null,null,null,null,{"$f":"IF(E30>='3. PC %Spend DE Attributed Memb'!E30,\"\",Lookup!$B$32)","v":""},null,null,null,null,null,null,null,{"$f":"IF(M30>='3. PC %Spend DE Attributed Memb'!J30,\"\",Lookup!$B$32)","v":""},null,null,null,null,null,null,null,null,null,{"$f":"IF(W30>='3. PC %Spend DE Attributed Memb'!R30,\"\",Lookup!$B$32)","v":""}]
[null,"  Primary Care (Professional, Claims)",null,{"$f":"IF($E$38=0,0,C31/$E$38)","v":0},null,{"$f":"IF($E$38=0,0,E31/$E$38)","v":0},{"$f":"IF(E31>E9,Lookup!$B$33,\"\")","v":""},{"$f":"IF(E31>='3. PC %Spend DE Attributed Memb'!E31,\"\",Lookup!$B$32)","v":""},null,null,null,{"$f":"IF($M$38=0,0,K31/$M$38)","v":0},null,{"$f":"IF($M$38=0,0,M31/$M$38)","v":0},{"$f":"IF(M31>M9,Lookup!$B$33,\"\")","v":""},{"$f":"IF(M31>='3. PC %Spend DE Attributed Memb'!J31,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(D31=0,0,L31/D31-1)","v":0},{"$f":"IF(F31=0,0,N31/F31-1)","v":0},null,null,{"$f":"IF($W$38=0,0,U31/$W$38)","v":0},null,{"$f":"IF($W$38=0,0,W31/$W$38)","v":0},{"$f":"IF(W31>W9,Lookup!$B$33,\"\")","v":""},{"$f":"IF(W31>='3. PC %Spend DE Attributed Memb'!R31,\"\",Lookup!$B$32)","v":""},null,{"$f":"IF(L31=0,0,V31/L31-1)","v":0},{"$f":"IF(N31=0,0,X31/N31-1)","v":0}]
[null,"  Primary Care (Facility, Claims)",null,0,null,0,null,{"$f":"IF(E32>='3. PC %Spend DE Attributed Memb'!E32,\"\",Lookup!$B$32)","v":""},null,null,null,0,null,{"$f":"IF($M$38=0,0,M32/$M$38)","v":0},null,{"$f":"IF(M32>='3. PC %Spend DE Attributed Memb'!J32,\"\",Lookup!$B$32)","v":""},null,0,0,null,null,0,null,{"$f":"IF($W$38=0,0,W32/$W$38)","v":0},null,{"$f":"IF(W32>='3. PC %Spend DE Attributed Memb'!R32,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"  Primary Care (Non-Claims)",{"$f":"C14+C16+C18+C20+C22","v":0},0,{"$f":"E14+E16+E18+E20+E22","v":0},0,null,{"$f":"IF(E33>='3. PC %Spend DE Attributed Memb'!E33,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"K14+K16+K18+K20+K22","v":0},0,{"$f":"M14+M16+M18+M20+M22","v":0},{"$f":"IF($M$38=0,0,M33/$M$38)","v":0},null,{"$f":"IF(M33>='3. PC %Spend DE Attributed Memb'!J33,\"\",Lookup!$B$32)","v":""},null,0,0,null,{"$f":"U14+U16+U18+U20+U22","v":0},0,{"$f":"W14+W16+W18+W20+W22","v":0},{"$f":"IF($W$38=0,0,W33/$W$38)","v":0},null,{"$f":"IF(W33>='3. PC %Spend DE Attributed Memb'!R33,\"\",Lookup!$B$32)","v":""},null,0,0]
[null,"Primary Care (Total)",{"$f":"SUM(C31:C33)","v":0},0,{"$f":"SUM(E31:E33)","v":0},0,null,{"$f":"IF(E34>='3. PC %Spend DE Attributed Memb'!E34,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"SUM(K31:K33)","v":0},0,{"$f":"SUM(M31:M33)","v":0},{"$f":"IF($M$38=0,0,M34/$M$38)","v":0},null,{"$f":"IF(M34>='3. PC %Spend DE Attributed Memb'!J34,\"\",Lookup!$B$32)","v":""},null,0,0,null,{"$f":"SUM(U31:U33)","v":0},0,{"$f":"SUM(W31:W33)","v":0},{"$f":"IF($W$38=0,0,W34/$W$38)","v":0},null,{"$f":"IF(W34>='3. PC %Spend DE Attributed Memb'!R34,\"\",Lookup!$B$32)","v":""},null,0,0]
[]
[null,"Primary Care % of Medical",null,null,null,{"$f":"IFERROR((F34/(F28-F26)),0)","v":0},null,null,null,null,null,null,null,{"$f":"IFERROR((N34/(N28-N26)),0)","v":0},null,null,null,null,null,null,null,null,null,{"$f":"IFERROR((X34/(X28-X26)),0)","v":0}]
[]
[null,"Member Months"]
[]
[null,null,"PROJECTED"]
[]
[null,null,"CY 2025",null,null,null,null,"CY 2025 Allowed",null,null,"CY 2026",null,null,null,null,"CY 2026 Allowed"]
[null,null,"Allowed ($)","Allowed PMPM","Allowed PMPM Trend (CY 2024 / CY 2023)",null,null,"Total Allowed Dollars is less than Attributed Allowed Dollars (Check)",null,null,"Allowed ($)","Allowed PMPM","Allowed PMPM Trend (CY 2025 / CY 2024)",null,null,"Total Allowed Dollars is less than Attributed Allowed Dollars (Check)"]
[null,"Inpatient Hospital",{"$f":"IF($C$75=0,0,D44*$C$75)","v":0},null,{"$f":"IF(X7=0,0,+D44/X7-1)","v":0},null,null,{"$f":"IF(C44>='3. PC %Spend DE Attributed Memb'!C44,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"IF($K$75=0,0,L44*$K$75)","v":0},null,{"$f":"IF(D44=0,0,+L44/D44-1)","v":0},null,null,{"$f":"IF(K44>='3. PC %Spend DE Attributed Memb'!H44,\"\",Lookup!$B$32)","v":""}]
[null,"Outpatient Hospital",{"$f":"IF($C$75=0,0,D45*$C$75)","v":0},null,{"$f":"IF(X8=0,0,+D45/X8-1)","v":0},null,null,{"$f":"IF(C45>='3. PC %Spend DE Attributed Memb'!C45,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"IF($K$75=0,0,L45*$K$75)","v":0},null,{"$f":"IF(D45=0,0,+L45/D45-1)","v":0},null,null,{"$f":"IF(K45>='3. PC %Spend DE Attributed Memb'!H45,\"\",Lookup!$B$32)","v":""}]
[null,"Professional",{"$f":"IF($C$75=0,0,D46*$C$75)","v":0},null,{"$f":"IF(X9=0,0,+D46/X9-1)","v":0},null,null,{"$f":"IF(C46>='3. PC %Spend DE Attributed Memb'!C46,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K46>='3. PC %Spend DE Attributed Memb'!H46,\"\",Lookup!$B$32)","v":""}]
[null,"Other Medical",{"$f":"IF($C$75=0,0,D47*$C$75)","v":0},null,{"$f":"IF(X10=0,0,+D47/X10-1)","v":0},null,null,{"$f":"IF(C47>='3. PC %Spend DE Attributed Memb'!C47,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K47>='3. PC %Spend DE Attributed Memb'!H47,\"\",Lookup!$B$32)","v":""}]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",{"$f":"IF($C$75=0,0,D51*$C$75)","v":0},null,{"$f":"IF(X14=0,0,+D51/X14-1)","v":0},null,null,{"$f":"IF(C51>='3. PC %Spend DE Attributed Memb'!C51,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"IF($K$75=0,0,L51*$K$75)","v":0},null,{"$f":"IF(D51=0,0,+L51/D51-1)","v":0},null,null,{"$f":"IF(K51>='3. PC %Spend DE Attributed Memb'!H51,\"\",Lookup!$B$32)","v":""}]
[null,"  Incentive Programs for Services Other than Primary Care",0,null,0,null,null,{"$f":"IF(C52>='3. PC %Spend DE Attributed Memb'!C52,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K52>='3. PC %Spend DE Attributed Memb'!H52,\"\",Lookup!$B$32)","v":""}]
[null,"  Primary Care Capitation",0,null,0,null,null,{"$f":"IF(C53>='3. PC %Spend DE Attributed Memb'!C53,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K53>='3. PC %Spend DE Attributed Memb'!H53,\"\",Lookup!$B$32)","v":""}]
[null,"  Capitation for Services Other than Primary Care",0,null,0,null,null,{"$f":"IF(C54>='3. PC %Spend DE Attributed Memb'!C54,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K54>='3. PC %Spend DE Attributed Memb'!H54,\"\",Lookup!$B$32)","v":""}]
[null,"  Risk Settlements (Net) to Support Primary Care Services",0,null,0,null,null,{"$f":"IF(C55>='3. PC %Spend DE Attributed Memb'!C55,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K55>='3. PC %Spend DE Attributed Memb'!H55,\"\",Lookup!$B$32)","v":""}]
[null,"  Risk Settlements (Net) to Support Services Other than Primary Care ",0,null,0,null,null,{"$f":"IF(C56>='3. PC %Spend DE Attributed Memb'!C56,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K56>='3. PC %Spend DE Attributed Memb'!H56,\"\",Lookup!$B$32)","v":""}]
[null,"  Primary Care, Care Management",0,null,0,null,null,{"$f":"IF(C57>='3. PC %Spend DE Attributed Memb'!C57,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K57>='3. PC %Spend DE Attributed Memb'!H57,\"\",Lookup!$B$32)","v":""}]
[null,"  Care Management other than for Primary Care",0,null,0,null,null,{"$f":"IF(C58>='3. PC %Spend DE Attributed Memb'!C58,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K58>='3. PC %Spend DE Attributed Memb'!H58,\"\",Lookup!$B$32)","v":""}]
[null,"  Other, Primary Care ",0,null,0,null,null,{"$f":"IF(C59>='3. PC %Spend DE Attributed Memb'!C59,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K59>='3. PC %Spend DE Attributed Memb'!H59,\"\",Lookup!$B$32)","v":""}]
[null,"  Other, Non-Primary Care ",0,null,0,null,null,{"$f":"IF(C60>='3. PC %Spend DE Attributed Memb'!C60,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K60>='3. PC %Spend DE Attributed Memb'!H60,\"\",Lookup!$B$32)","v":""}]
[null,"Total Capitation",0,{"$f":"SUM(D51:D60)","v":0},0,null,null,{"$f":"IF(C61>='3. PC %Spend DE Attributed Memb'!C61,\"\",Lookup!$B$32)","v":""},null,null,0,{"$f":"SUM(L51:L60)","v":0},0,null,null,{"$f":"IF(K61>='3. PC %Spend DE Attributed Memb'!H61,\"\",Lookup!$B$32)","v":""}]
[]
[null,"Prescription Drug",{"$f":"IF($C$75=0,0,D63*$C$75)","v":0},null,0,null,null,{"$f":"IF(C63>='3. PC %Spend DE Attributed Memb'!C63,\"\",Lookup!$B$32)","v":""},null,null,0,null,{"$f":"IF(D63=0,0,+L63/D63-1)","v":0},null,null,{"$f":"IF(K63>='3. PC %Spend DE Attributed Memb'!H63,\"\",Lookup!$B$32)","v":""}]
[]
[null,"Total",{"$f":"IF($C$75=0,0,D65*$C$75)","v":0},{"$f":"D63+D61+SUM(D44:D47)","v":0},0,null,null,{"$f":"IF(C65>='3. PC %Spend DE Attributed Memb'!C65,\"\",Lookup!$B$32)","v":""},null,null,0,{"$f":"SUM(L44:L47,L61,L63)","v":0},{"$f":"IF(D65=0,0,+L65/D65-1)","v":0},null,null,{"$f":"IF(K65>='3. PC %Spend DE Attributed Memb'!H65,\"\",Lookup!$B$32)","v":""}]
[]
[null,"Primary Care",null,null,null,null,null,{"$f":"IF(C67>='3. PC %Spend DE Attributed Memb'!C67,\"\",Lookup!$B$32)","v":""},null,null,null,null,null,null,null,{"$f":"IF(K67>='3. PC %Spend DE Attributed Memb'!H67,\"\",Lookup!$B$32)","v":""}]
[null,"Primary Care (Professional, Claims)",{"$f":"IF($C$75=0,0,D68*$C$75)","v":0},null,{"$f":"IF(X31=0,0,+D68/X31-1)","v":0},null,{"$f":"IF(D68>D46,Lookup!$B$33,\"\")","v":""},{"$f":"IF(C68>='3. PC %Spend DE Attributed Memb'!C68,\"\",Lookup!$B$32)","v":""},null,null,{"$f":"IF($K$75=0,0,L68*$K$75)","v":0},null,{"$f":"IF(D68=0,0,+L68/D68-1)","v":0},null,{"$f":"IF(L68>L46,Lookup!$B$33,\"\")","v":""},{"$f":"IF(K68>='3. PC %Spend DE Attributed Memb'!H68,\"\",Lookup!$B$32)","v":""}]
[null,"Primary Care (Facility, Claims)",{"$f":"IF($C$75=0,0,D69*$C$75)","v":0},null,0,null,null,{"$f":"IF(C69>='3. PC %Spend DE Attributed Memb'!C69,\"\",Lookup!$B$32)","v":""},null,null,0,null,0,null,null,{"$f":"IF(K69>='3. PC %Spend DE Attributed Memb'!H69,\"\",Lookup!$B$32)","v":""}]
[null,"Primary Care (Non-Claims)",{"$f":"IF($C$75=0,0,D70*$C$75)","v":0},{"$f":"SUM(D51+D53+D55+D57+D59)","v":0},0,null,null,{"$f":"IF(C70>='3. PC %Spend DE Attributed Memb'!C70,\"\",Lookup!$B$32)","v":""},null,null,0,{"$f":"SUM(L51+L53+L55+L57+L59)","v":0},0,null,null,{"$f":"IF(K70>='3. PC %Spend DE Attributed Memb'!H70,\"\",Lookup!$B$32)","v":""}]
[null,"Primary Care (Total)",{"$f":"IF($C$75=0,0,D71*$C$75)","v":0},{"$f":"SUM(D68:D70)","v":0},0,null,null,{"$f":"IF(C71>='3. PC %Spend DE Attributed Memb'!C71,\"\",Lookup!$B$32)","v":""},null,null,0,{"$f":"SUM(L68:L70)","v":0},0,null,null,{"$f":"IF(K71>='3. PC %Spend DE Attributed Memb'!H71,\"\",Lookup!$B$32)","v":""}]
[]
[null,"Primary Care % of Medical",null,{"$f":"IFERROR((D71/(D65-D63)),0)","v":0},null,null,null,null,null,null,null,{"$f":"IFERROR((L71/(L65-L63)),0)","v":0}]
[]
[null,"Member Months"]

{"sheet":"3b. Care Transformation","index":7,"n_rows":1007,"n_cols":39,"rows_kept":1007,"cut":false,"hidden":false,"merged":[[5,32,5,38],[4,0,4,6],[5,0,5,6],[5,25,5,30],[4,16,4,38],[4,8,4,14],[5,8,5,14]]}
["Please Indicate Market Segment: "]
["Reminder: Please use OVBHCD Primary Care definition"]
[]
[]
["Section A. Delaware Primary Care Provider Overview ",null,null,null,null,null,null,null,"Section B. Delaware Primary Care Providers Deemed Not Participating in Care Transformation Activities",null,null,null,null,null,null,null,"Section C. Delaware Primary Care Providers Deemed Participating in Care Transformation Activities"]
["PROVIDER INFORMATION",null,null,null,null,null,null,null,"PROVIDER INFORMATION",null,null,null,null,null,null,null,"PROVIDER INFORMATION",null,null,null,null,null,null,null,null,"NON-CLAIMS PAYMENTS TO SUPPORT PRIMARY CARE ",null,null,null,null,null,null,"CONTRACTUALLY-REQUIRED CARE TRANSFORMATION ACTIVITIES (Please respond Yes or No)"]
["Year ","Total Number of Contracted Delaware Primary Care NPIs ","Number of Contracted Delaware Primary Care NPIs\"Participating in Care Transformation Activities\"","Member Months of Delaware Residents Enrolled in Situs-Based Plan Attributed to Primary Care Providers in Column C","Number of Contracted Delaware Primary Care NPIs Not \"Participating in Care Transformation Activities\"","Member Months of Delaware Residents Enrolled in Situs-Based Plan Not Attributed to a Primary Care Provider in Column C","Total Member Months of Delaware Residents Enrolled in Situs-Based Plan ",null,"Year "," Provider Contracting Entity ","TIN of Provider Contracting Entity"," Number of Contracted Delaware Primary Care NPIs Affiliated with Provider Contracting Entity","Participating Program(s) (e.g. Carrier, NCQA PCMH, Primary Care First, None, Other)","Error Message","Explanations for Error Messagfes in Column P",null,"Year "," Provider Contracting Entity ","TIN of Provider Contracting Entity"," Number of Contracted Delaware Primary Care NPIs Affiliated with Provider Contracting Entity","Member Months of Delaware Residents Enrolled in Situs-Based Plans Attributed to Primary Care Providers in Column T","Participating Program(s) (e.g. Carrier, NCQA PCMH, Primary Care First, None, Other)","Program Names (Carrier Programs Only)","Practice Names (NCQA PCMH only)",null,"Primary Care Incentive Payments","Primary Care Capitation","Total Risk Settlements (Net) to Support Primary Care Services ","Primary Care, Care Management ","Other Primary Care","Total Non-Claims Payments to Support Primary Care ",null,"Team-Based Care and Care Management ","Planned Care at Every Visit","Active Use of Data","Effective Management of Tests and Specialist Referrals ","Integration of Primary Care and Behavioral Health ","Integration of Primary Care with Social Services","Carrier Method for Documenting Compliance  "]
["CY 2024",{"$f":"SUM(C8,E8)","v":0},null,null,null,null,{"$f":"SUM(D8,F8)","v":0},null,null,null,null,null,null,{"$f":"IF(ISBLANK(M8),\"\",IF(M8=Lookup!$B$74,\"\",Lookup!$C$74))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Z8:AD8)","v":0}]
["Q1 2025",{"$f":"SUM(C9,E9)","v":0},null,null,null,null,{"$f":"SUM(D9,F9)","v":0},null,null,null,null,null,null,{"$f":"IF(ISBLANK(M9),\"\",IF(M9=Lookup!$B$74,\"\",Lookup!$C$74))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"SUM(Z9:AD9)","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(M10),\"\",IF(M10=Lookup!$B$74,\"\",Lookup!$C$74))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(M11),\"\",IF(M11=Lookup!$B$74,\"\",Lookup!$C$74))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
[null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ISBLANK(M12),\"\",IF(M12=Lookup!$B$74,\"\",Lookup!$C$74))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,0]
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{"sheet":"4. NonProfessional Price Growth","index":8,"n_rows":61,"n_cols":19,"rows_kept":61,"cut":false,"hidden":false,"merged":[[34,2,34,4],[34,8,34,10],[4,2,4,4],[4,8,4,10],[4,14,4,16]]}
["Please Indicate Market Segment: "]
[]
[]
["A.","Historical Actual Trend Reporting"]
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[null,null,"Price Trend","Utilization & Mix Trend","PMPM Trend",null,null,null,"Price Trend","Utilization & Mix Trend","PMPM Trend",null,"Trend Consistency Check",null,"Price Trend","Utilization & Mix Trend","PMPM Trend",null,"Trend Consistency Check"]
[null,"Inpatient Hospital",null,null,{"$f":"(1+C7)*(1+D7)-1","v":0},null,null,null,null,null,{"$f":"(1+I7)*(1+J7)-1","v":0},null,{"$f":"IF(ABS(K7-'3a. PC % Spend All Members'!S7)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,{"$f":"(1+O7)*(1+P7)-1","v":0},null,{"$f":"IF(ABS(Q7-'3a. PC % Spend All Members'!AC7)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Outpatient Hospital",null,null,{"$f":"(1+C8)*(1+D8)-1","v":0},null,null,null,null,null,{"$f":"(1+I8)*(1+J8)-1","v":0},null,{"$f":"IF(ABS(K8-'3a. PC % Spend All Members'!S8)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,{"$f":"(1+O8)*(1+P8)-1","v":0},null,{"$f":"IF(ABS(Q8-'3a. PC % Spend All Members'!AC8)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Professional",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K9-'3a. PC % Spend All Members'!S9)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q9-'3a. PC % Spend All Members'!AC9)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Other Medical",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K10-'3a. PC % Spend All Members'!S10)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q10-'3a. PC % Spend All Members'!AC10)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K14-'3a. PC % Spend All Members'!S14)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q14-'3a. PC % Spend All Members'!AC14)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Incentive Programs for Services Other than Primary Care",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K15-'3a. PC % Spend All Members'!S15)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q15-'3a. PC % Spend All Members'!AC15)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Primary Care Capitatation",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K16-'3a. PC % Spend All Members'!S16)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q16-'3a. PC % Spend All Members'!AC16)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Capitation for Services Other than Primary Care",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K17-'3a. PC % Spend All Members'!S17)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q17-'3a. PC % Spend All Members'!AC17)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Risk Settlements (Net) to Support Primary Care Services",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K18-'3a. PC % Spend All Members'!S18)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q18-'3a. PC % Spend All Members'!AC18)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Risk Settlements (Net) to Support Services Other than Primary Care ",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K19-'3a. PC % Spend All Members'!S19)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q19-'3a. PC % Spend All Members'!AC19)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Primary Care, Care Management",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K20-'3a. PC % Spend All Members'!S20)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q20-'3a. PC % Spend All Members'!AC20)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Care Management other than for Primary Care",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K21-'3a. PC % Spend All Members'!S21)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q21-'3a. PC % Spend All Members'!AC21)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Other, Primary Care ",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K22-'3a. PC % Spend All Members'!S22)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q22-'3a. PC % Spend All Members'!AC22)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"  Other, Non-Primary Care ",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K23-'3a. PC % Spend All Members'!S23)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q23-'3a. PC % Spend All Members'!AC23)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Total Capitation",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K24-'3a. PC % Spend All Members'!S24)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q24-'3a. PC % Spend All Members'!AC24)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[]
[null,"Prescription Drug",null,null,0,null,null,null,null,null,0,null,{"$f":"IF(ABS(K26-'3a. PC % Spend All Members'!S26)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,0,null,{"$f":"IF(ABS(Q26-'3a. PC % Spend All Members'!AC26)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[]
[null,"Total",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(ABS(K28-'3a. PC % Spend All Members'!S28)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,null,null,{"$f":"IF(ABS(Q28-'3a. PC % Spend All Members'!AC28)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[]
[null,"Primary Care (Total)",null,null,{"$f":"(1+C30)*(1+D30)-1","v":0},null,null,null,null,null,{"$f":"(1+I30)*(1+J30)-1","v":0},null,{"$f":"IF(ABS(K30-'3a. PC % Spend All Members'!S34)<Lookup!$C$40,\"\",Lookup!$B$34)","v":""},null,null,null,{"$f":"(1+O30)*(1+P30)-1","v":0},null,{"$f":"IF(ABS(Q30-'3a. PC % Spend All Members'!AC34)<Lookup!$C$40,\"\",Lookup!$B$35)","v":""}]
[null,"Note: Total to include all primary care spend (professional, facility, non-claims) "]
[]
[]
[]
["B.","Prospective Trend Assumptions","CY 2025 (CY 2025 / CY2024)",null,null,null,"CY 2025 PMPM",null,"CY 2026 (CY 2026 / CY2025)",null,null,null,"CY 2026 PMPM"]
[null,null,"Price Trend","Utilization & Mix Trend","PMPM Trend",null,"Trend Consistency Check",null,"Price Trend","Utilization & Mix Trend","PMPM Trend",null,"Trend Consistency Check"]
[null,"Inpatient Hospital",null,null,{"$f":"(1+C37)*(1+D37)-1","v":0},null,{"$f":"IF(ABS(E37-'3a. PC % Spend All Members'!E44)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,{"$f":"(1+I37)*(1+J37)-1","v":0},null,{"$f":"IF(ABS(K37-'3a. PC % Spend All Members'!M44)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Outpatient Hospital",null,null,{"$f":"(1+C38)*(1+D38)-1","v":0},null,{"$f":"IF(ABS(E38-'3a. PC % Spend All Members'!E45)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,{"$f":"(1+I38)*(1+J38)-1","v":0},null,{"$f":"IF(ABS(K38-'3a. PC % Spend All Members'!M45)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Professional",null,null,0,null,{"$f":"IF(ABS(E39-'3a. PC % Spend All Members'!E46)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K39-'3a. PC % Spend All Members'!M46)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Other Medical",null,null,0,null,{"$f":"IF(ABS(E40-'3a. PC % Spend All Members'!E47)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K40-'3a. PC % Spend All Members'!M47)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[]
[null,"Capitation"]
[]
[null,"  Primary Care Incentive Programs",null,null,0,null,{"$f":"IF(ABS(E44-'3a. PC % Spend All Members'!E51)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K44-'3a. PC % Spend All Members'!M51)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Incentive Programs for Services Other than Primary Care",null,null,0,null,{"$f":"IF(ABS(E45-'3a. PC % Spend All Members'!E52)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K45-'3a. PC % Spend All Members'!M52)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Primary Care Capitatation",null,null,0,null,{"$f":"IF(ABS(E46-'3a. PC % Spend All Members'!E53)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K46-'3a. PC % Spend All Members'!M53)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Capitation for Services Other than Primary Care",null,null,0,null,{"$f":"IF(ABS(E47-'3a. PC % Spend All Members'!E54)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K47-'3a. PC % Spend All Members'!M54)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Risk Settlements (Net) to Support Primary Care Services",null,null,0,null,{"$f":"IF(ABS(E48-'3a. PC % Spend All Members'!E55)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K48-'3a. PC % Spend All Members'!M55)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Risk Settlements (Net) to Support Services Other than Primary Care ",null,null,0,null,{"$f":"IF(ABS(E49-'3a. PC % Spend All Members'!E56)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K49-'3a. PC % Spend All Members'!M56)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Primary Care, Care Management",null,null,0,null,{"$f":"IF(ABS(E50-'3a. PC % Spend All Members'!E57)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K50-'3a. PC % Spend All Members'!M57)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Care Management other than for Primary Care",null,null,0,null,{"$f":"IF(ABS(E51-'3a. PC % Spend All Members'!E58)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K51-'3a. PC % Spend All Members'!M58)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Other ",null,null,0,null,{"$f":"IF(ABS(E52-'3a. PC % Spend All Members'!E59)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K52-'3a. PC % Spend All Members'!M59)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"  Other, Non-Primary Care ",null,null,0,null,{"$f":"IF(ABS(E53-'3a. PC % Spend All Members'!E60)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K53-'3a. PC % Spend All Members'!M60)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Total Capitation",null,null,0,null,{"$f":"IF(ABS(E54-'3a. PC % Spend All Members'!E61)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K54-'3a. PC % Spend All Members'!M61)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[]
[null,"Prescription Drug",null,null,0,null,{"$f":"IF(ABS(E56-'3a. PC % Spend All Members'!E63)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,0,null,{"$f":"IF(ABS(K56-'3a. PC % Spend All Members'!M63)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[]
[null,"Total",null,null,null,null,{"$f":"IF(ABS(E58-'3a. PC % Spend All Members'!E65)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,null,null,{"$f":"IF(ABS(K58-'3a. PC % Spend All Members'!M65)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[]
[null,"Primary Care (Total)",null,null,{"$f":"(1+C60)*(1+D60)-1","v":0},null,{"$f":"IF(ABS(E60-'3a. PC % Spend All Members'!E71)<Lookup!$C$40,\"\",Lookup!$B$36)","v":""},null,null,null,{"$f":"(1+I60)*(1+J60)-1","v":0},null,{"$f":"IF(ABS(K60-'3a. PC % Spend All Members'!M71)<Lookup!$C$40,\"\",Lookup!$B$37)","v":""}]
[null,"Note: Total to include all primary care spend (professional, facility, non-claims) "]

{"sheet":"5. APMA Fixed Payment Methods","index":9,"n_rows":14,"n_cols":3,"rows_kept":14,"cut":false,"hidden":false,"merged":[]}
[]
[]
[]
[]
[]
[]
[]
[null,"Inpatient","Outpatient"]
["Bayhealth Medical Center"]
["Beebe Healthcare"]
["Christiana Care"]
["Nemours"]
["TidalHealth"]
["Trinity Health (Saint Francis)"]

{"sheet":"5a. APMA HCP-LAN","index":10,"n_rows":48,"n_cols":13,"rows_kept":48,"cut":false,"hidden":false,"merged":[[1,2,1,6],[1,8,1,10]]}
["Please Indicate Fully Insured or Fully Insured and Self Insured "]
["Please Report all Market Segments Combined",null,"HISTORICAL",null,null,null,null,null,"PROJECTED"]
[]
[null,null,2022,null,2023,null,2024,null,2025,null,2026]
[]
[null,"Member Months (Required)"]
[null,"Total Allowed Medical Expense All Services (Required)"]
[null,"TME PMPM",{"$f":"IF(C6=0,0,C7/C6)","v":0},null,{"$f":"IF(E6=0,0,E7/E6)","v":0},null,{"$f":"IF(G6=0,0,G7/G6)","v":0},null,{"$f":"IF(I6=0,0,I7/I6)","v":0},null,{"$f":"IF(K6=0,0,K7/K6)","v":0}]
[null,null,{"$f":"IF(OR(C7-'3a. PC % Spend All Members'!E28>0,C7-'3a. PC % Spend All Members'!E28<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(E7-'3a. PC % Spend All Members'!M28>0,E7-'3a. PC % Spend All Members'!M28<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(G7-'3a. PC % Spend All Members'!W28>0,G7-'3a. PC % Spend All Members'!W28<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(I7-'3a. PC % Spend All Members'!C65>0,I7-'3a. PC % Spend All Members'!C65<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(K7-'3a. PC % Spend All Members'!K65>0,K7-'3a. PC % Spend All Members'!K65<0),\"ERROR\",\"CHECK\")","v":"CHECK"}]
[]
[null,null,2022,null,2023,null,2024,null,2025,null,2026]
[null,null,"Total Medical Expense All Services",null,"Total Medical Expense All Services",null,"Total Medical Expense All Services",null,"Total Medical Expense All Services",null,"Total Medical Expense All Services"]
[null,"LAN Cat 1: Fee For Service - No Link to Quality & Value",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 2-A: Payments for Infrastructure & Operations",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 2-B: Pay for Reporting",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 2-C: Pay for Performance",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 3-A: APMs with Shared Savings ",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 3-B: APMs with Shared Savings and Downside Risk",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 4-A: Condition-Specific Population-Based Payment",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 4-B: Comprehensive Population-Based Payment",0,null,0,null,0,null,0,null,0]
[null,"LAN Cat 4-C: Integrated Finance & Delivery System",0,null,0,null,0,null,0,null,0]
[null,"Total Medical Expense All Services",{"$f":"SUM(C13:C21)","v":0},null,{"$f":"SUM(E13:E21)","v":0},null,{"$f":"SUM(G13:G21)","v":0},null,{"$f":"SUM(I13:I21)","v":0},null,{"$f":"SUM(K13:K21)","v":0}]
[null,null,{"$f":"IF(OR(C7-C22>0,C7-C22<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(E7-E22>0,E7-E22<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(G7-G22>0,G7-G22<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(I7-I22>0,I7-I22<0),\"ERROR\",\"CHECK\")","v":"CHECK"},null,{"$f":"IF(OR(K7-K22>0,K7-K22<0),\"ERROR\",\"CHECK\")","v":"CHECK"}]
[]
[null,null,2022,null,2023,null,2024,null,2025,null,2026]
[null,null,"% of Total Medical Expense",null,"% of Total Medical Expense",null,"% of Total Medical Expense",null,"% of Total Medical Expense",null,"% of Total Medical Expense"]
[null,"LAN Cat 1: Fee For Service - No Link to Quality & Value",{"$f":"IF(C22=0,0,C13/C22)","v":0},null,{"$f":"IF(E22=0,0,E13/E22)","v":0},null,{"$f":"IF(G22=0,0,G13/G22)","v":0},null,{"$f":"IF(I22=0,0,I13/I22)","v":0},null,{"$f":"IF(K22=0,0,K13/K22)","v":0}]
[null,"LAN Cat 2-A: Payments for Infrastructure & Operations",{"$f":"IF(C22=0,0,C14/C22)","v":0},null,{"$f":"IF(E22=0,0,E14/E22)","v":0},null,{"$f":"IF(G22=0,0,G14/G22)","v":0},null,{"$f":"IF(I22=0,0,I14/I22)","v":0},null,{"$f":"IF(K22=0,0,K14/K22)","v":0}]
[null,"LAN Cat 2-B: Pay for Reporting",{"$f":"IF(C22=0,0,C15/C22)","v":0},null,{"$f":"IF(E22=0,0,E15/E22)","v":0},null,{"$f":"IF(G22=0,0,G15/G22)","v":0},null,{"$f":"IF(I22=0,0,I15/I22)","v":0},null,{"$f":"IF(K22=0,0,K15/K22)","v":0}]
[null,"LAN Cat 2-C: Pay for Performance",{"$f":"IF(C22=0,0,C16/C22)","v":0},null,{"$f":"IF(E22=0,0,E16/E22)","v":0},null,{"$f":"IF(G22=0,0,G16/G22)","v":0},null,{"$f":"IF(I22=0,0,I16/I22)","v":0},null,{"$f":"IF(K22=0,0,K16/K22)","v":0}]
[null,"LAN Cat 3-A: APMs with Shared Savings ",{"$f":"IF(C22=0,0,C17/C22)","v":0},null,{"$f":"IF(E22=0,0,E17/E22)","v":0},null,{"$f":"IF(G22=0,0,G17/G22)","v":0},null,{"$f":"IF(I22=0,0,I17/I22)","v":0},null,{"$f":"IF(K22=0,0,K17/K22)","v":0},null,{"$f":"IF((K31+K32)<50%,\"NOT COMPLIANT\",\"VALID\")","v":"NOT COMPLIANT"}]
[null,"LAN Cat 3-B: APMs with Shared Savings and Downside Risk",{"$f":"IF(C22=0,0,C18/C22)","v":0},null,{"$f":"IF(E22=0,0,E18/E22)","v":0},null,{"$f":"IF(G22=0,0,G18/G22)","v":0},null,{"$f":"IF(I22=0,0,I18/I22)","v":0},null,{"$f":"IF(K22=0,0,K18/K22)","v":0},null,{"$f":"IF(K32<25%,\"NOT COMPLIANT\",\"VALID\")","v":"NOT COMPLIANT"}]
[null,"LAN Cat 4-A: Condition-Specific Population-Based Payment",{"$f":"IF(C22=0,0,C19/C22)","v":0},null,{"$f":"IF(E22=0,0,E19/E22)","v":0},null,{"$f":"IF(G22=0,0,G19/G22)","v":0},null,{"$f":"IF(I22=0,0,I19/I22)","v":0},null,{"$f":"IF(K22=0,0,K19/K22)","v":0}]
[null,"LAN Cat 4-B: Comprehensive Population-Based Payment",{"$f":"IF(C22=0,0,C20/C22)","v":0},null,{"$f":"IF(E22=0,0,E20/E22)","v":0},null,{"$f":"IF(G22=0,0,G20/G22)","v":0},null,{"$f":"IF(I22=0,0,I20/I22)","v":0},null,{"$f":"IF(K22=0,0,K20/K22)","v":0}]
[null,"LAN Cat 4-C: Integrated Finance & Delivery System",{"$f":"IF(C22=0,0,C21/C22)","v":0},null,{"$f":"IF(E22=0,0,E21/E22)","v":0},null,{"$f":"IF(G22=0,0,G21/G22)","v":0},null,{"$f":"IF(I22=0,0,I21/I22)","v":0},null,{"$f":"IF(K22=0,0,K21/K22)","v":0}]
[null,"Total Medical Expense All Services",{"$f":"SUM(C27:C35)","v":0},null,{"$f":"SUM(E27:E35)","v":0},null,{"$f":"SUM(G27:G35)","v":0},null,{"$f":"SUM(I27:I35)","v":0},null,{"$f":"SUM(K27:K35)","v":0}]
[]
[]
[]
[]
[null,"Please complete the table below for each shared savings contract included as part of rows 16 and 17 and rows 30 and 31",2022,null,2023,null,2024,null,2025,null,2026]
[]
[null,"Shared Savings % Allocated to Provider ",0,null,0,null,0,null,0,null,0]
[null,"Shared Savings % Allocated to Carrier ",0,null,0,null,0,null,0,null,0]
[null,"Shared Losses % Allocated to Provider",0,null,0,null,0,null,0,null,0]
[null,"Shared Losses % Allocated to Carrier",0,null,0,null,0,null,0,null,0]
[null,"Savings Cap for Provider",0,null,0,null,0,null,0,null,0]
[null,"Losses Cap for Provider ",0,null,0,null,0,null,0,null,0]

{"sheet":"6. Demographic Information","index":11,"n_rows":14,"n_cols":15,"rows_kept":14,"cut":false,"hidden":false,"merged":[[3,3,3,7],[3,9,3,13],[2,3,2,7],[2,9,2,13]]}
[null,"Please Indicate Market Segment: "]
[]
[null,null,null,"Section A. All Members in Delaware-Situs Plans",null,null,null,null,null,"Section B. Delaware Residents in Delaware-Situs Plans"]
[null,null,null,"Member Months for All Members Enrolled in \nFully-Insured Delaware-Situs Plans 3/31/2024 - 3/31/2025",null,null,null,null,null,"Member Months for Delaware Residents Enrolled in Fully-Insured Delaware-Situs Plans 3/31/2024 - 3/31/2025"]
[null,null,null,"Age Cohort (Years)","Male","Female","Other/Unknown","Total",null,"Age Cohort (Years)","Male","Female","Other/Unknown","Total"]
[null,null,null," 0-9",null,null,null,{"$f":"SUM(E6:G6)","v":0},null," 0-9",null,null,null,{"$f":"SUM(K6:M6)","v":0},{"$f":"IF(OR(K6>E6,L6>F6,M6>G6),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 10-19",null,null,null,{"$f":"SUM(E7:G7)","v":0},null," 10-19",null,null,null,{"$f":"SUM(K7:M7)","v":0},{"$f":"IF(OR(K7>E7,L7>F7,M7>G7),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 20-29",null,null,null,0,null," 20-29",null,null,null,0,{"$f":"IF(OR(K8>E8,L8>F8,M8>G8),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 30-39",null,null,null,0,null," 30-39",null,null,null,0,{"$f":"IF(OR(K9>E9,L9>F9,M9>G9),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 40-49",null,null,null,0,null," 40-49",null,null,null,0,{"$f":"IF(OR(K10>E10,L10>F10,M10>G10),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 50-59",null,null,null,0,null," 50-59",null,null,null,0,{"$f":"IF(OR(K11>E11,L11>F11,M11>G11),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 60-69",null,null,null,0,null," 60-69",null,null,null,0,{"$f":"IF(OR(K12>E12,L12>F12,M12>G12),Lookup!$B$19,\"\")","v":""}]
[null,null,null," 70+",null,null,null,0,null," 70+",null,null,null,0,{"$f":"IF(OR(K13>E13,L13>F13,M13>G13),Lookup!$B$19,\"\")","v":""}]
[null,null,null,"Total (all Ages)",{"$f":"SUM(E6:E13)","v":0},{"$f":"SUM(F6:F13)","v":0},0,0,null,"Total (all Ages)",{"$f":"SUM(K6:K13)","v":0},{"$f":"SUM(L6:L13)","v":0},{"$f":"SUM(M6:M13)","v":0},0,{"$f":"IF(OR(K14>E14,L14>F14,M14>G14),Lookup!$B$19,\"\")","v":""}]

{"sheet":"7. Notes","index":12,"n_rows":38,"n_cols":2,"rows_kept":38,"cut":false,"hidden":false,"merged":[[0,0,0,1],[1,0,1,1]]}
["Delaware Affordability Standards Notes"]
["Notes"]
[]
[]
["3 & 3a. Primary Care % Spend Attributed and All Members; 4. Non-Professional Price Growth ","Please provide information on why payments reported here may not match payments submitted for the same categories in the URRT."]
[]
[]
[null,"Please provide information on whether your organization pays facility fees in addition to professional fees for professional services delivered in a care setting owned by a health system. "]
[]
[]
["4.  Non-Professional Price Growth ","Please confirm if the reported price trend is the anticipated change in negotiated rate. If the price trend is different please describe how it is different. "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Please confirm whether this is what is typically reported in the URRT's \"Cost Trend\" column. If the URRT's \"Cost Trend\" is different please specify how it is different."]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Please explain how these price trends are reflected in your premium rates."]
[]
[]
[]
[]
["IV. Additional Notes"]

{"sheet":"8. App A - PC CPTs","index":13,"n_rows":488,"n_cols":2,"rows_kept":488,"cut":false,"hidden":false,"merged":[]}
["Code","Description"]
[10040,"Acne surgery"]
[10060,"Drainage Of Skin Abscess Simple"]
[10061,"Drainage Of Skin Abscess Complicated"]
[10080,"Drainage Of Pilonidal Cyst Simple"]
[10081,"Drainage of pilonidal cyst, complicated"]
[10120,"Remove Foreign Body Simple "]
[10121,"Remove Foreign Body Complicated "]
[10140,"Drainage of hematoma/fluid"]
[10160,"Puncture Drainage Of Lesion"]
[10180,"Complex drainage wound"]
[11000,"Debride Infected Skin"]
[11055,"Trim Skin Lesion Single"]
[11056,"Trim Skin Lesions 2 To 4"]
[11102,"Tangntl bx skin single les"]
[11103,"Tangntl bx skin ea sep/addl"]
[11104,"Punch bx skin single lesion"]
[11105,"Punch bx skin ea sep/addl"]
[11106,"Incal bx skn single les"]
[11107,"Incal bx skn ea sep/addl"]
[11200,"Removal Of Skin Tags <W/15"]
[11201,"Remove Skin Tags Add-On"]
[11300,"Shave Skin Lesion 0.5 Cm/<"]
[11301,"Shave Skin Lesion 0.6-1.0 Cm"]
[11302,"Shave Skin Lesion 1.1-2.0 Cm"]
[11303,"Shave Skin Lesion >2.0 Cm"]
[11305,"Shave Skin Lesion 0.5 Cm/<"]
[11306,"Shave Skin Lesion 0.6-1.0 Cm"]
[11307,"Shave Skin Lesion 1.1-2.0 Cm"]
[11308,"Shave skin lesion >2.0 cm"]
[11310,"Shave Skin Lesion 0.5 Cm/<"]
[11311,"Shave Skin Lesion 0.6-1.0 Cm"]
[11312,"Shave skin lesion 1.1-2.0 cm"]
[11313,"Shave skin lesion >2.0 cm"]
[11400,"Exc Tr-Ext B9+Marg 0.5 Cm<"]
[11401,"Exc Tr-Ext B9+Marg 0.6-1 Cm"]
[11402,"Exc Tr-Ext B9+Marg 1.1-2 Cm"]
[11403,"Exc Tr-Ext B9+Marg 2.1-3 Cm"]
[11404,"Exc tr-ext b9+marg 3.1-4 cm"]
[11406,"Exc tr-ext b9+marg >4.0 cm"]
[11420,"Exc H-F-Nk-Sp B9+Marg 0.5/< Cm"]
[11421,"Exc H-F-Nk-Sp B9+Marg 0.6-1 Cm"]
[11422,"Exc H-F-Nk-Sp B9+Marg 1.1-2 Cm"]
[11423,"Exc H-F-Nk-Sp B9+Marg 2.1-3 Cm"]
[11424,"Exc h-f-nk-sp b9+marg 3.1-4"]
[11426,"Exc h-f-nk-sp b9+marg >4 cm"]
[11440,"Exc face-mm b9+marg 0.5 cm/<"]
[11441,"Exc face-mm b9+marg 0.6-1 cm"]
[11442,"Exc face-mm b9+marg 1.1-2 cm"]
[11443,"Exc face-mm b9+marg 2.1-3 cm"]
[11444,"Exc face-mm b9+marg 3.1-4 cm"]
[11446,"Exc face-mm b9+marg >4 cm"]
[11719,"Trimming Nondystrophic Nails Any Number"]
[11720,"Debride Nail 1-5"]
[11721,"Debride Nail 6+"]
[11730,"Removal Of Nail Plate Simple "]
[11732,"Remove nail plate add-on"]
[11740,"Evacuation Subungual Hematoma"]
[11750,"Removal Of Nail Bed Partial/Complete"]
[11765,"Excision Of Nail Fold Toe"]
[11900,"Inject Skin Lesions </W 7"]
[11901,"Inject Skin >7 Lesions"]
[11981,"Insert Drug Implant Device"]
[11982,"Remove Drug Implant Device"]
[11983,"Remove W/ Insert Drug Implant"]
[12002,"Rpr s/n/ax/gen/trnk2.6-7.5cm"]
[12004,"Rpr s/n/ax/gen/trk7.6-12.5cm"]
[12005,"Rpr s/n/a/gen/trk12.6-20.0cm"]
[12006,"Rpr s/n/a/gen/trk20.1-30.0cm"]
[12007,"Rpr s/n/ax/gen/trnk >30.0 cm"]
[12011,"Rpr f/e/e/n/l/m 2.5 cm/<"]
[12013,"Rpr f/e/e/n/l/m 2.6-5.0 cm"]
[12014,"Rpr f/e/e/n/l/m 5.1-7.5 cm"]
[12015,"Rpr f/e/e/n/l/m 7.6-12.5 cm"]
[12016,"Rpr fe/e/en/l/m 12.6-20.0 cm"]
[12017,"Rpr fe/e/en/l/m 20.1-30.0 cm"]
[12018,"Rpr f/e/e/n/l/m >30.0 cm"]
[12020,"Closure of split wound"]
[12021,"Closure of split wound"]
[12031,"Intmd rpr s/a/t/ext 2.5 cm/<"]
[12032,"Intmd rpr s/a/t/ext 2.6-7.5"]
[12034,"Intmd rpr s/tr/ext 7.6-12.5"]
[12035,"Intmd rpr s/a/t/ext 12.6-20"]
[12036,"Intmd rpr s/a/t/ext 20.1-30"]
[12037,"Intmd rpr s/tr/ext >30.0 cm"]
[12041,"Intmd rpr n-hf/genit 2.5cm/<"]
[12044,"Intmd rpr n-hf/genit7.6-12.5"]
[12045,"Intmd rpr n-hf/genit12.6-20"]
[12046,"Intmd rpr n-hf/genit20.1-30"]
[12047,"Intmd rpr n-hf/genit >30.0cm"]
[12051,"Intmd rpr face/mm 2.5 cm/<"]
[12052,"Intmd rpr face/mm 2.6-5.0 cm"]
[12053,"Intmd rpr face/mm 5.1-7.5 cm"]
[12054,"Intmd rpr face/mm 7.6-12.5cm"]
[12055,"Intmd rpr face/mm 12.6-20 cm"]
[12056,"Intmd rpr face/mm 20.1-30.0"]
[12057,"Intmd rpr face/mm >30.0 cm"]
[13160,"Late closure of wound"]
[16020,"Dress/debrid p-thick burn s"]
[17106,"Destruction of skin lesions"]
[17107,"Destruction of skin lesions"]
[17108,"Destruction of skin lesions"]
[19000,"Drainage Of Breast Lesion"]
[20520,"Removal Of Foreign Body Simple"]
[20550,"Inj Tendon Sheath/Ligament"]
[20551,"Inj Tendon Origin/Insertion"]
[20552,"Inj Trigger Point 1/2 Muscl"]
[20553,"Inject Trigger Points 3/>"]
[20600,"Drain/Inj Joint/Bursa W/O Us Small"]
[20604,"Drain/inj joint/bursa w/us"]
[20605,"Drain/Inj Joint/Bursa W/O Us Intermediate"]
[20606,"Drain/inj joint/bursa w/us"]
[20610,"Drain/Inj Joint/Bursa W/O Us Major"]
[20611,"Drain/inj joint/bursa w/us"]
[20612,"Drain/Inj Ganglion Cyst"]
[24640,"Closed Treat Radial Head Sublx Child"]
[27096,"Inject sacroiliac joint"]
[29105,"Apply long arm splint"]
[29125,"Apply forearm splint"]
[29126,"Apply forearm splint"]
[29130,"Application of finger splint"]
[29131,"Application of finger splint"]
[29200,"Strapping of chest"]
[29240,"Strapping of shoulder"]
[29260,"Strapping of elbow or wrist"]
[29280,"Strapping of hand or finger"]
[29505,"Application long leg splint"]
[29515,"Application lower leg splint"]
[29520,"Strapping of hip"]
[29530,"Strapping of knee"]
[29540,"Strapping of ankle and/or ft"]
[29550,"Strapping of toes"]
[29581,"Apply multlay comprs lwr leg"]
[29584,"Appl multlay comprs arm/hand"]
[30300,"Removal Foreign Body Intranasal Office Procedure"]
[30901,"Control of nosebleed"]
[30903,"Control of nosebleed"]
[30905,"Control of nosebleed"]
[30906,"Repeat control of nosebleed"]
[36410,"Capillary Blood Draw"]
[36410,"Non-routine bl draw 3/> yrs"]
[36415,"Routine Venipuncture"]
[36416,"Non-routine bl draw 3/> yrs"]
[40804,"Removal foreign body mouth"]
[40805,"Removal foreign body mouth"]
[46600,"Diagnostic anoscopy spx"]
[51702,"Insert temp bladder cath"]
[51798,"Us urine capacity measure"]
[69200,"Clear Outer Ear Canal W/Out Anesthesia "]
[69209,"Remove Impacted Ear Wax Irrigation "]
[69210,"Remove Impacted Ear Wax Instruments "]
[81000,"Urinalysis Dip Stick/Tablet Reagnt Non-Auto Micrscpy"]
[81001,"Urinalysis Dip Stick/Tablet Reagent Auto Microscopy"]
[81025,"Urine Pregnancy Test Visual Color Comparison"]
[82044,"Urine Albumin Semiquantitative"]
[82270,"Blood Occult Peroxidase Actv Qual Feces 1 Determination"]
[82272,"Blood Occult Peroxidase Actv Qual Feces 1-3 Spec Determination"]
[82465,"Cholesterol Serum/Whole Blood Total"]
[82947,"Glucose Quantitative Blood Xcpt Reagent Strip"]
[82948,"Glucose Blood Reagent Strip"]
[82950,"Glucose Post Glucose Dose"]
[82962,"Gluc Bld Glucouse Device Spec Home Use"]
[83655,"Assay Of Lead"]
[83718,"Lipoprotein Dir Meas High Density Cholesterol"]
[85013,"Blood Count Spun Microhematocrit"]
[85014,"Blood Count Hematocrit"]
[85018,"Blood Count Hemoglobin"]
[86580,"Skin Test Tuberculosis Intradermal"]
[87205,"Smr Prim Src Gram/Giemsa Stain Bct Fungi/Cel"]
[87880,"Immunoassay Streptococcus Group A"]
[90283,"Immunizations/Injections"]
[90460,"Immunization Admin 1St/Only Component 18 Years<"]
[90461,"Immunization Admin Each Addl Component 18 Years<"]
[90471,"Immunization Admin 1 Vaccine Single/Combo"]
[90472,"Immunization Admin Each Add-On Single/Combo"]
[90473,"Immunization Admin Oral/Nasal Single/Combo"]
[90474,"Immunization Admin Oral/Nasal Addl Single/Combo"]
[90791,"Psych Diagnostic Evaluation"]
[90792,"Psych Diag Eval W/Med Services"]
[90887,"Consultation with family"]
[90889,"Provider prepares report on Pt's mental state for other providers of care"]
[92551,"Pure Tone Hearing Test Air"]
[92552,"Pure Tone Audiometry Air"]
[92558,"Evoked Auditory Test Qual"]
[92567,"Tympanometry"]
[92587,"Distortion Product Evoked Otoacoustic Emissions Limited"]
[92588,"Distortion Product Evoked Otoacoustic Emissions Comprehensive"]
[93000,"Ecg Routine Ecg W/Least 12 Lds W/I&R"]
[93005,"Ecg Routine Ecg W/Least 12 Lds Trcg Only W/O I&R"]
[93010,"Ecg Routine Ecg W/Least 12 Lds I&R Only"]
[93015,"Cardiovascular stress test"]
[93040,"Rhythm Ecg 1-3 Leads W/Interpretation & Report"]
[93268,"Xtrnl Pt Activ Ecg Transmis W/R&I </30 Days"]
[93784,"Ambl Bld Press W/Tape&/Disk 24/> Hr Alys I&R"]
[94010,"Spirometry"]
[94014,"Pt Recorded Spirometry Complex"]
[94015,"Pt Recorded Spirometry Simple"]
[94016,"Review Pt Spirometry"]
[94060,"Bronchodilation Responsiveness "]
[94070,"Bronchodilation Provocation Evaluation"]
[94375,"Respiratory Flow Volume Loop"]
[94640,"Pressurized/Nonpressurized Inhalation Treatment"]
[94664,"Demo&/Eval Of Pt Utiliz Aersl Gen/Neb/Inhlr/Ip"]
[94760,"Noninvasive Ear/Pulse Oximetry Single Deter"]
[94761,"Noninvasive Ear/Pulse Oximetry Multiple Deter"]
[95004,"Percutaneous allergy skin tests"]
[95017,"Perq & icut allg test venoms"]
[95018,"Perq&ic allg test drugs/biol"]
[95024,"Icut allergy test drug/bug"]
[95027,"Icut allergy titrate-airborn"]
[95028,"Icut allergy test-delayed"]
[95044,"Allergy patch tests"]
[95056,"Photosensitivity tests"]
[95060,"Eye allergy tests"]
[95065,"Nose allergy test"]
[95070,"Bronchial allergy tests"]
[95115,"Prof Services Allergen Immutherapy Single Injection"]
[95117,"Prof Services Allergen Immutherapy Multiple Injection"]
[95249,"Cont gluc mntr pt prov eqp"]
[95250,"Cont gluc mntr phys/qhp eqp"]
[95251,"Cont gluc mntr analysis i&r"]
[96015,"Assessment of aphasia"]
[96105,"Physician or licensed speech pathologist, evaluates the Pt for aphasia"]
[96110,"Developmental Screen W/Score"]
[96127,"Brief Emotional/Behav Assmt"]
[96130,"Psychological testing evaluation services by physician or other QHP"]
[96131,"Psychological and Neuropsychological Testing Evaluation Services"]
[96132,"Neuropsychological testing evaluation services by physician or other QHP"]
[96133,"Psychological and Neuropsychological Testing Evaluation Service"]
[96150,"Assess health/ Behavioral assessment"]
[96151,"Assessment Health/ Behavioral subsequent"]
[96156,"Health Behavior Assessment Or Re-Assessment"]
[96158,"Health Behavior Intervention, Individual Face-To-Face 30 Min"]
[96159,"Health Behavior Intervention, Individual Face-To-Face 15 Min "]
[96160,"Pt-Focused Hlth Risk Assmt"]
[96161,"Caregiver Health Risk Assmt"]
[96164,"Health Behavior Intervention, Group (2<) Face-To-Face 30 Min"]
[96165,"Health Behavior Intervention, Group (2<) Face-To-Face 15 Min"]
[96167,"Health Behavior Intervention, Family (W/ Pt) Face-To-Face 30 Min"]
[96168,"Health Behavior Intervention, Family (W/ Pt) Face-To-Face 15 Min"]
[96170,"Health Behavior Intervention, Family (W/Out Pt) Face-To-Face 30 Min"]
[96171,"Health Behavior Intervention, Family (W/Out Pt), Face-To-Face 15 Min"]
[96372,"Ther/Proph/Diag Inj Sc/Im"]
[97151,"Behavior Identification Assessment, Administered By QHP, Each 15 Min Of QHP’S Time"]
[97152,"Behavior Identification-Supporting Assessment, Administered By One Technician Under The Direction Of A Physician Or Other Qualified Health Care Professional, Face-To-Face With The Pt, Each 15 Min"]
[97597,"Debridement Open Wound 20 Sq Cm/<"]
[97602,"Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess"]
[97802,"Medical Nutrition Indiv In"]
[98960,"Self-Mgmt Educ & Train 1 Pt"]
[98961,"Self-Mgmt Educ/Train 2-4 Pt"]
[98962,"Self-Mgmt Educ/Train 5-8 Pt"]
[98966,"Hc Pro Phone Call 5-10 Min"]
[98967,"Non-Physician Telephone Services 11-20 Min"]
[98968,"Non-Physician Telephone Services 21-30 Min"]
[98969,"Online Service By Hc Pro"]
[98970,"NQHP ol dig assmt&mgmt 5-10"]
[98971,"NQHP ol dig assmt&mgmt 11-20"]
[98972,"NQHP ol dig assmt&mgmt 21+"]
[99000,"Specimen Handling Office-Lab"]
[99024,"Postop Follow-Up Visit"]
[99050,"Medical Services After Hrs"]
[99051,"Med Serv Evening/Wkend/Holiday"]
[99056,"Med Service Out Of Office"]
[99058,"Office Emergency Care"]
[99071,"Pt Education Materials"]
[99078,"Phys/QHP  Education Materials for Pts In Group Setting"]
[99173,"Visual Acuity Screen"]
[99174,"Ocular Instrumnt Screen Bil Remote Analysis "]
[99177,"Ocular Instrumnt Screen Bil On Site Analysis "]
[99188,"App Topical Fluoride Varnish"]
[99202,"Office/OutPt Visit New 15-29 Min"]
[99203,"Office/OutPt Visit New 30-44 Min"]
[99204,"Office/OutPt Visit New 45-59 Min"]
[99205,"Office/OutPt Visit New 60-74 Min"]
[99211,"Office/OutPt Visit Est"]
[99212,"Office/OutPt Visit Est 10-19 Min"]
[99213,"Office/OutPt Visit Est 20-29 Min"]
[99214,"Office/OutPt Visit Est 30-39 Min"]
[99215,"Office/OutPt Visit Est 40-54 Min"]
[99241,"Office Or Other OutPt Consultations 15 Min"]
[99242,"Office Or Other OutPt Consultations 30 Min"]
[99243,"Office Or Other OutPt Consultations 40 Min "]
[99244,"Office Or Other OutPt Consultations 60 Min"]
[99245,"Office Or Other OutPt Consultations 80 Min "]
[99324,"Domiciliary Or Rest Home Custodial Care 20 Min"]
[99325,"Domiciliary Or Rest Home Custodial Care 30 Min "]
[99326,"Domiciliary Or Rest Home Custodial Care 45 Min"]
[99327,"Domiciliary Or Rest Home Custodial Care 60 Min"]
[99328,"Domiciliary Or Rest Home Custodial Care 75 Min"]
[99334,"Domiciiary Or Rest Home Evaluation 15 Min"]
[99335,"Domiciliary Or Rest Home Evaluation 25 Min "]
[99336,"Domiciliary Or Rest Home Evaluation 40 Min "]
[99337,"Domiciliary Or Rest Home Evaluation 60 Min "]
[99339,"Individual Physician Supervision Of Pt (W/OutPt) In Home, Domiciliary Or Rest Home Complex 15-29 Min"]
[99340,"Individual Physician Supervision Of Pt (W/OutPt) In Home, Domiciliary Or Rest Home Complex 30 Min"]
[99341,"Home Visit New Pt 20 Min "]
[99342,"Home Visit New Pt 30 Min "]
[99343,"Home Visit New Pt 45 Min"]
[99344,"Home Visit New Pt 60 Min "]
[99345,"Home Visit New Pt 75 Min"]
[99346,"Home Visit New Pt"]
[99347,"Home Visit Established Pt 15 Min"]
[99348,"Home Visit Established Pt 25 Min"]
[99349,"Home Visit Established Pt 40 Min"]
[99350,"Home Visit Established Pt 60 Min "]
[99354,"Prolonged Service OutPt 60 Min"]
[99355,"Prolonged Service OutPt Add 30 Min"]
[99356,"Prolonged Service Requiring Unit/Floor 60 Min"]
[99357,"Prolonged Service Requiring Unit/Floor Add 30 Min"]
[99358,"Prolong Service W/O Contact "]
[99359,"Prolong Serv W/O Contact Add 30 Min"]
[99366,"Team Conf W/ Pt By Healthcare Prof 30 Min W/Physician"]
[99367,"Team Conf W/Out Pt By Healthcare Prof 30 Min W/Physician "]
[99368,"Team Conf W/Out Pt By Healthcare Prof 30 Min W/Out Physician "]
[99374,"Home/Nursing Facility Visits 15-29 Min"]
[99375,"Home/Nursing Facility Visits 30 Min"]
[99381,"Init Pm E/M New Pat Infant"]
[99382,"Init Pm E/M New Pat 1-4 Yrs"]
[99383,"Prev Visit New Age 5-11"]
[99384,"Prev Visit New Age 12-17"]
[99385,"Prev Visit New Age 18-39"]
[99386,"Prev Visit New Age 40-64"]
[99387,"Prev Visit - New Pt 65+ Yrs"]
[99391,"Periodic Pm Reeval Est Pat Infant 1>"]
[99392,"Prev Visit Est Age 1-4"]
[99393,"Prev Visit Est Age 5-11"]
[99394,"Prev Visit Est Age 12-17"]
[99395,"Prev Visit Est Age 18-39"]
[99396,"Prev Visit Est Age 40-64"]
[99397,"Per Pm Reeval Est Pat 65+ Yr"]
[99401,"Preventive Counseling Indiv 15 Min"]
[99402,"Preventive Counseling Indiv 30 Min"]
[99403,"Preventive Counseling Indiv 45 Min"]
[99404,"Preventive Counseling Indiv 60 Min"]
[99406,"Behav Chng Smoking 3-10 Min"]
[99407,"Behav Chng Smoking > 10 Min"]
[99408,"Audit/Dast 15-30 Min"]
[99409,"Alcohol/Substance Screen & Intervention >30 Min"]
[99411,"Preventive Counseling Group 30 Min"]
[99412,"Preventive Counseling Group 60 Min "]
[99417,"Prolng op e/m each 15 min"]
[99421,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 5-10 Min"]
[99422,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 11-20 Min"]
[99423,"Online Digital Evaluation And Management Service For An Established Pt For Up To 7 Days Cumulative Time During The 7 Days, 21 Or More Min"]
[99424,"Prin care mgmt phys 1st 30"]
[99425,"Prin care mgmt phys ea addl"]
[99426,"Prin care mgmt staff 1st 30"]
[99427,"Prin care mgmt staff ea addl"]
[99429,"Unlisted Preventive Service"]
[99437,"Chrnc care mgmt phys ea addl"]
[99439,"Chrnc care mgmt staf ea addl"]
[99441,"Phys/Qhp Telephone Evaluation 5-10 Min"]
[99442,"Phone E/M Phys/Qhp 11-20 Min"]
[99443,"Phys/Qhp Telephone Evaluation 21-30 Min"]
[99446," Interprofessional Electronic Health Assessment  5-10 Min "]
[99447," Interprofessional Electronic Health Assessment  11-20 Min "]
[99448," Interprofessional Electronic Health Assessment  21-30  Min "]
[99449," Interprofessional Electronic Health Assessment  31 Min <"]
[99451,"Interprofessional Electronic Health Assessment 5 Min >"]
[99452,"Interprofessional Electronic Health Record Referral Service(S) Provided By A Treating Physician Health Care Professional, > 16 Min"]
[99453,"Remote Monitoring Physiologic Parameters Initial "]
[99454,"Remote Monitoring Physiologic Parameters Programed Transmission "]
[99455,"Work Related Disability Exam"]
[99456,"Disability Examination"]
[99457,"Remote Physiologic Monitoring Treatment Management Services,  First 20 Min"]
[99458,"Remote Physiologic Monitoring Treatment Management Services,  Additional 20 Min"]
[99459,"Pelvic examination "]
[99483,"Assmt & Care Planning Pt W/Cognitive Impairment"]
[99484,"Care Mgmt Svc Bhvl Health Conditions 20 Min"]
[99487,"Complex Care W/O Pt Vsit 60 Min"]
[99489,"Complex Chronic Care Addl 30 Min"]
[99490,"Chron Care Mgmt Srvc 20 Min"]
[99491,"Chronic Care Management Services At Least 30 Min"]
[99492,"1St Psyc Collab Care Mgmt"]
[99493,"Sbsq Psyc Collab Care Mgmt"]
[99494,"1St/Sbsq Psyc Collab Care"]
[99495,"Trans Care Mgmt 14 Day Disch"]
[99496,"Trans Care Mgmt 7 Day Disch"]
[99497,"Advncd Care Plan 30 Min"]
[99498,"Advncd Care Plan Addl 30 Min"]
[99499,"Unlisted E&M Service "]
[99502,"Home Visit For Newborn Care And Assessment"]
[99506,"Home Visit For Intramuscular Injections"]
["1000F","Tobacco Use Assessed"]
["1220F","Pt Screened For Depression"]
["3016F","Pt Screened For Unhlthy Alcohol Use"]
["3085F","Suicide Risk Assessed"]
["4004F","Pt Tobacco Screen And Cessation Intervention"]
["4290F","Pt Screened For Injection Drug Use (Hiv)"]
["4293F","Pt Screened For High Risk Sexual Behavior (Hiv)"]
["G0008","Admin Influenza Virus Vaccine"]
["G0009","Admin Pneumococcal Vaccine"]
["G0010","Admin Hepatitis B Vaccine"]
["G0019","Comm hlth intg svs sdoh 60mn"]
["G0022","Comm hlth intg svs add 30 m"]
["G0023","Pin service 60m per month"]
["G0024","Pin srv add 30 min pr m"]
["G0101","Cancer Screen; Pelvic/Breast Exam"]
["G0102","Prostate Cancer Screening; Digital Rectal Examination"]
["G0103","PSA Screening"]
["G0108","Diabetes OutPt Self-Management Training Services Individual"]
["G0109","Diabetes OutPt Self-Management Training Services Group"]
["G0140","Nav srv peer sup 60 min pr m"]
["G0146","Nav srv peer sup add 30 pr m"]
["G0181","Home/Nursing Facility Visits W/Out Pt Medicare Approved"]
["G0202","Screening Mammography Digital"]
["G0323","Care manage beh svs 20mins"]
["G0396","Alcohol/Subs Misuse Intervention 15-30 Min"]
["G0397","Alcohol/Subs Misuse Intervention 30 Min <"]
["G0402","Welcome to Medicare visit"]
["G0403","Ekg For Initial Prevent Exam"]
["G0404","Ekg Tracing For Initial Prev"]
["G0405","Ekg Interpret & Report Preve"]
["G0436","Smoke Tob Cessation Cnsl As Pt; Intrmed 3-10 Min"]
["G0437","Smoking & Tob Cess Cnsl As Pt; Intensive >10 Min "]
["G0438","Ppps, Initial Visit"]
["G0439","Ppps, Subseq Visit"]
["G0442","Annual Alcohol Screen 15 Min"]
["G0443","Brief Alcohol Misuse Counsel"]
["G0444","Depression Screen Annual 15 Min"]
["G0445","High Intensity Behavioral Counseling Std 30 Min "]
["G0447","Behavior Counsel Obesity 15 Min "]
["G0463","Hospital Outpt Clinic Visit"]
["G0466","FQHC Visit, New Pt"]
["G0467","FQHC Visit, Established Pt"]
["G0468","FQHC Preventive Visit"]
["G0472","Hepatitis C Antibody Screening"]
["G0473","Preventative Group Visits For Obesity"]
["G0475","HIV Antigen/Antibody, Combination Assay, Screening"]
["G0476","HPV Combo Assay Cancer Screen"]
["G0505","Cognition and functional assessment "]
["G0506","Comprehensive Asses Care Plan Chronic Care Mgmt Services"]
["G0511","Chronic Care Management Rural Health Clinic"]
["G0513","Prolong Preventative Services, First 30 Min"]
["G0514","Prolonged Preventive Service Addl 30 Min"]
["G0537","Risk ascvd tst once pr 12 mo "]
["G0538","Ascvd rsk mng clin stf pr mo "]
["G0539","Initial care training 30 m "]
["G0540","Train for caregiver add 15 "]
["G0541","No pt prsnt train initial 30 "]
["G0542","No pt prsnt train add 15 "]
["G0543","Group train w/o patient "]
["G0546","Phone/internet ehr assess "]
["G0547","Phone/internet svs 11-20m "]
["G0548","Phone/inter svs 21-30 m "]
["G0549","Phone/inter for treat>31m "]
["G0550","Phone/inter for dx/treat >5m "]
["G0551","Phn/intr svs fr dx treat 30m "]
["G0556","Adv prim care mgmt lvl 1"]
["G0557","Adv prim care mgmt lvl 2"]
["G0558","Adv prim care mgmt lvl 3"]
["G2010","Remote Evaluation Of Recodred Video/Images"]
["G2064","Comprehensive Care Management Services For Single High-Risk Disease Physician"]
["G2065","Comprehensive Care Management Services For A Single High-Risk Disease Clinical Staff"]
["G2211","Complex e/m visit add on"]
["G2214","Initial or subsequent psych collab care mgmt"]
["G2250","Remot img sub by pt, non e/m "]
["G2251","Brief chkin, 5-10, non-e/m "]
["G2252","Brief chkin by md/qhp, 11-20"]
["G3002","Chronic pain mgmt 30 mins"]
["G3003","Chronic pain mgmt addl 15m"]
["G8482","Influenza Immunization Administered Or Previously Received"]
["G9903","Pt Screened For Tobacco Use And Identified As A Non-User"]
["G9964","Pt Received One Well-Child Visit With A PCP During The Performance Period"]
["G9966","Children Who Were Screened For Risk Of Developmental, Behavioral And Social Delays"]
["H0001","Alcohol and/or drug assessment"]
["H0002","Behavioral Health Screening To Admit To Treatment Program"]
["H0031","Mental Health Assess By Non-MD"]
["H0049","Alcohol/Drug Screening"]
["H1000","Prenatal Care At Risk Assessm"]
["H2000","Comprehensive multidisciplinary evaluation"]
["H2010-H2020","Comprehensive medication services, per 15 min"]
["H2027","Comprehensive medication services, per 15 min"]
["Q0091","Obtaining Screen Pap Smear"]
["S0610","Annual Gynecological Examine New Pt"]
["S0611","Preventative Visits"]
["S0612","Annual Gynecological Examin Established Pt"]
["S0613","Annual Breast Exam"]
["S0622","Phys Exam For College"]
["S9083","Primary Care At Urgent Care"]
["S9117","Back To School Visits"]
["S9445","Pt Education Not Classified Individ"]
["S9446","Pt Education Not Classified Group"]
["S9449","Weight Mgmt Class Non-Phys Provider"]
["S9451","Exercise Class Non-Phys Provider"]
["S9452","Nutrition Classes Non-Phys Provider"]
["S9454","Stress Management Classes Non-Phys Provider"]
["T1015","Clinic Service All-Inclusive"]

{"sheet":"9. App B - PC Taxonomy","index":14,"n_rows":32,"n_cols":2,"rows_kept":32,"cut":false,"hidden":false,"merged":[]}
["Taxonomy Code Description","Taxonomy Code "]
["Licensed Clinical Social Worker","1041C0700X"]
["Nurse, non-practitioner ","163W00000X "]
["Community Health Worker ","172V00000X "]
["Pharmacist ","183500000X "]
["Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist ","1835P0018X "]
["Family Medicine","207Q00000X"]
["Family Medicine, Adult Medicine ","207QA0505X"]
["Family Medicine, Geriatric Medicine ","207QG0300X"]
["Internal Medicine","207R00000X"]
["Internal Medicine, Geriatric Medicine ","207RG0300X"]
["Pediatrics","208000000X"]
["General Practice ","208D00000X"]
["Federally Qualified Health Center ","261QF0400X"]
["Clinic/Center, Primary Care ","261QP2300X"]
["Clinic/Center, Rural Health","261QR1300X"]
["Physician Assistant","363A00000X"]
["Physician Assistant, Medical ","363AM0700X"]
["Nurse Practitioner ","363L00000X"]
["Nurse Practitioner, Adult Health ","363LA2200X"]
["Nurse Practitioner, Community Health ","363LC1500X"]
["Nurse Practitioner, Family ","363LF0000X"]
["Nurse Practitioner, Gerontology ","363LG0600X"]
["Nurse Practitioner, Pediatrics","363LP0200X"]
["Nurse Practitioner, Primary Care ","363LP2300X"]
["Nurse Practitioner, School ","363LS0200X"]
["Clinical Nurse Specialist -Adult Health","364SA2200X "]
["Clinical Nurse Specialist -Community Health/Public Health","364SC1501X "]
["Clinical Nurse Specialist -Chronic Health","364SC2300X "]
["Clinical Nurse Specialist -Family Health","364SF0001X "]
["Clinical Nurse Specialist -Gerontology","364SG0600X "]
["Clinical Nurse Specialist -Pediatrics","364SP0200X "]

{"sheet":"10. App C - PC POS","index":15,"n_rows":20,"n_cols":2,"rows_kept":20,"cut":false,"hidden":false,"merged":[]}
["Place of Service Code Description","Place of Service Code "]
["Telehealth Provided Other than in Patient’s Home",2]
["School",3]
["Homeless Shelter",4]
["Telehealth Provided in Patient’s Home",10]
["Office",11]
["Home",12]
["Assisted Living Facility",13]
["Group Home",14]
["Mobile Unit",15]
["Walk-In Retail Clinic ",17]
["Place of Employment – Worksite ",18]
["Urgent Care Facility ",20]
["Outreach Site/Street",27]
["Nursing Facility",32]
["Custodial Care Facility",33]
["Federally Qualified Health Center ",50]
["Intermediate Care Facility/ Individuals with Intellectual Disabilities",54]
["Public Health Clinic",71]
["Rural Health Clinic ",72]