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] }, { "name": "VACCINE ADMIN", "billing_code_type": "RC", "billing_code_type_version": "2022", "billing_code": "771", "description": "PREVENTIVE CARE SERVICES - VACCINE ADMINISTRATION", "allowed_amounts": [{ "tin": { "type": "ein", "value": "811723202" }, "service_code": ["22"], "billing_class": "institutional", "payments": [{ "allowed_amount": 3795.84, "providers": [{ "billed_charge": 5845.00, "npi": [1649726738] } ] } ] } ] }, { "name": "METABOLIC PANEL TOTAL CA", "billing_code_type": "CPT", "billing_code_type_version": "2022", "billing_code": "80048", "description": "BASIC METABOLIC PANEL (CALCIUM, TOTAL) THIS PANEL MUST INCLUDE THE FOLLOWING: CALCIUM, TOTAL (82310)", "allowed_amounts": [{ "tin": { "type": "ein", "value": "561398929" }, "service_code": ["81"], "billing_class": "professional", "payments": [{ "allowed_amount": 103.52, "providers": [{ "billed_charge": 285.20, "npi": [1811005150] } ] } ] } ] }, { "name": "COMPREHEN METABOLIC PANEL", "billing_code_type": "CPT", 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