COT.003.186

TYPE-OF-SERVICE

Data Element

DE Number

COT186

System DE Number

COT.003.186

File Name

COT - CLAIM OTHER

File Segment Number

COT00003

File Segment Name

CLAIM-LINE-RECORD-OT

Last updated

Overview Valid Values Related Rules Related DQ Measures Other Instances

Definition	A code to categorize the services provided to a Medicaid or CHIP enrollee. For sub-capitation payments, report a TYPE-OF-SERVICE value 119, 120, or 122.
Size	X(3)
FLF Start Position	322
FLF Stop Position	324
Segment Key Field Identifier	Not Applicable
Coding Requirements	1. Value must be 3 characters 2. Mandatory 3. When value is in [119-122], Servicing Provider NPI Num (COT.002.190) should not be populated 4. Value must be in ['002', '003', '004', '005', '006', '007', '008', '010', '011', '012', '013', '014', '015', '016', '017', '018', '019', '020', '021', '022', '023', '024', '025', '026', '027', '028', '029', '030', '031', '032', '035', '036', '037', '038', '039', '040', '041', '042', '043', '049', '050', '051', '052', '053', '054', '055', '056', '057', '058', '060', '061', '062', '063', '064', '065', '066', '067', '068', '069', '070', '071', '072', '073', '074', '075', '076', '077', '078', '079', '080', '081', '082', '083', '084', '085', '086', '087', '088', '089', '115', '119', '120', '121', '122', '127', '131', '134', '135', '136', '137', '138', '139', '140', '141', '142', '143', '144', '145', '147'] 5. When value is in [119-122], Servicing Provider Taxonomy (COT.003.191) should not be populated 6. When value is in [119-122], Referring Provider NPI Num (COT.002.118) should not be populated 7. Value must be 3 characters 8. Mandatory 9. When value is in [119-122], Billing Provider NPI Num (COT.002.113) should not be populated 10. When value is in [119-122], Billing Provider Taxonomy (COT.002.114) should not be populated 11. When value is in [119-122], Referring Provider Taxonomy (COT.002.119) should not be populated 12. When value is not in ['025','085'], Sex (ELG.002.023) equals 'M' 13. When value is in [119-122], Servicing Provider Num (COT.002.189) should not be populated

Valid Value Code Set	Valid Value Code	Valid Value Name	Valid Value Description	Effective Start Date	Effective End Date

RULE ID	RULE Definition
RULE-1655	If the type of service is populated on a non-denied claim line from an OT file, then the type of service value reported must be in the list of valid values for type of service.
RULE-1656	If the type of service is populated on a non-denied claim line from an OT file, then the type of service must be from a valid list of values for other claim care services: '002', '003', '004', '005', '006', '007', '008', '010', '011', '012', '013', '014', '015', '016', '017', '018', '019', '020', '021', '022', '023', '024', '025', '026', '027', '028', '029', '030', '031', '032', '035', '036', '037', '038', '039', '040', '041', '042', '043', '049', '050', '051', '052', '053', '054', '055', '056', '057', '058', '060', '061', '062', '063', '064', '065', '066', '067', '068', '069', '070', '071', '072', '073', '074', '075', '076', '077', '078', '079', '080', '081', '082', '083', '084', '085', '086', '087', '088', '089', '115', '119', '120', '121', '122', '127', '131', '134', '135', '136', '137', '138', '139', '140', '141', '142', '143', '144', '145', '147'.
RULE-1657	If a non-denied OT claim and a primary demographics eligibility segment has a value populated for sex that equals 'male' then the OT claim line must not have a type of service populated that equals nurse-midwife services for prenatal, pre-pregnancy family planning services.
RULE-1658	If tooth quad code is populated on a non-denied claim line from an OT file, then the type of service value reported must be for medical and surgical services of a dentist, dental services, or dentures.
RULE-1659	If tooth surface code is populated on a non-denied claim line from an OT file, then the type of service value reported must be for medical and surgical services of a dentist, dental services, medical or other remedial care or services other than physicians' services provided by licensed practitioners, or clinic services.
RULE-6496	If a claim line is a non-denied claim line from an OT file, then the type of service value reported must be compatible with specified T-MSIS picture format: X(3).
RULE-7260	If a claim is on a non-denied claim that is an original or encounter payment or is a replacement or resubmission claim or encounter payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP FFS, Medicaid or Medicaid-expansion CHIP Encounter, separate CHIP FFS or separate CHIP Encounter claim, then the claim line type of service must be populated.
RULE-7593	If a claim is a non-denied, Medicaid/Medicaid expansion CHIP, Separate CHIP or other capitated payment, paid claim from an OT file, then the claim line type of service is non-null and equal to capitated payments for HMOs, HIOs, or PACE plans (119), primary care case management (PCCM) (120), Premium payments for private health insurance (121), capitated payments to prepaid health plans (PHPs) (122), per member per month PMPM payments ('138','139', '140', '141', '142', '143', '144')
RULE-7739	If a claim is on a non-denied claim that is an original or encounter payment or is a replacement or resubmission claim or encounter payment from an OT file, and is a Medicaid or Medicaid-expansion CHIP Encounter or Separate CHIP Encounter claim then the claim line type of service must be populated.
RULE-7895	If a claim is a non-denied claim that is an original or replacement/resubmission claim from an OT file, and is a Medicaid or Medicaid-expansion CHIP FFS or Separate CHIP FFS claim then the claim line type of service must be populated.

Measure ID	Measure Name
ALL-30-001-1	Type of Service values
ALL-36-001-1	# of service tracking claim lines with TYPE-OF-SERVICE = 123 (DSH), 131 (Drug Rebates), 135 (EHR)
EL-8-002-2	Enrollment, capitation payments, capitation ratios, encounters (by claim file type) and encounter ratios (by claim file type) by plan ID with plan ID linking to MC file
EXP-11-162-4	% of outpatient department claim lines with Medicaid Paid Amount = $0
EXP-13-005-4	% of outpatient department claim lines with Medicaid Paid Amount = $0
EXP-20-001-1	Sum of Medicaid Paid Amount for other premium
EXP-20-002-2	Average Medicaid Paid Amount for other premium
EXP-21-001-1	Sum of Medicaid Paid Amount for other premium
EXP-21-002-2	Average Medicaid Paid Amount for other premium
EXP-22-001-2	Sum of Medicaid Paid Amount for HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119)
EXP-22-003-4	Sum of Medicaid Paid Amount for PCCM (TYPE-OF-SERVICE = 120)
EXP-22-004-6	Sum of Medicaid Paid Amount for PHP (TYPE-OF-SERVICE = 122)
EXP-22-006-3	Average Medicaid Paid Amount for HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119)
EXP-22-007-5	Average Medicaid Paid Amount for PCCM (TYPE-OF-SERVICE = 120)
EXP-22-008-7	Average Medicaid Paid Amount for PHP (TYPE-OF-SERVICE = 122)
EXP-24-002-2	Sum of Medicaid Paid Amount for HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119)
EXP-24-003-4	Sum of Medicaid Paid Amount for PCCM (TYPE-OF-SERVICE = 120)
EXP-24-004-6	Sum of Medicaid Paid Amount for PHP (TYPE-OF-SERVICE = 122)
EXP-24-006-3	Average Medicaid Paid Amount for HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119)
EXP-24-007-5	Average Medicaid Paid Amount for PCCM (TYPE-OF-SERVICE = 120)
EXP-24-008-7	Average Medicaid Paid Amount for PHP (TYPE-OF-SERVICE = 122)
FFS-10-002-3	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61 with ER Place of Service (Medicaid Paid Amount > $0)
FFS-11-005-21	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61, 28, 41 with diagnosis codes
FFS-11-010-3	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag
FFS-11-012-10	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag
FFS-11-018-16	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have ICD9CM (02) or ICD10CM (07) Procedure Code Flag
FFS-11-019-7	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS74 (03) Procedure Code Flag
FFS-11-020-6	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS69 (04) Procedure Code Flag
FFS-11-021-5	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS64 (05) Procedure Code Flag
FFS-11-022-17	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)
FFS-11-023-1	% of outpatient department claim lines that have accommodation codes
FFS-12-003-2	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61 with ER Place of Service (Medicaid Paid Amount > $0)
FFS-18-002-2	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
FFS-18-003-1	% of physician claim lines with Servicing Provider Specialty
FFS-19-002-1	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
FFS-22-002-2	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
FFS-22-003-1	% of physician claim lines with Servicing Provider Specialty
FFS-23-002-1	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
FFS-9-004-100	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61, 28, 41 with diagnosis codes
FFS-9-010-3	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag
FFS-9-013-10	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag
FFS-9-019-16	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have ICD9CM (02) or ICD10CM (07) Procedure Code Flag
FFS-9-020-7	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS74 (03) Procedure Code Flag
FFS-9-021-6	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS69 (04) Procedure Code Flag
FFS-9-022-5	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS64 (05) Procedure Code Flag
FFS-9-023-17	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)
FFS-9-024-1	% of outpatient department claim lines that have accommodation codes
MCR-10-005-21	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61, 28, 41 with diagnosis codes
MCR-10-010-3	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag
MCR-10-012-10	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag
MCR-10-018-16	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have ICD9CM (02) or ICD10CM (07) Procedure Code Flag
MCR-10-019-7	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS74 (03) Procedure Code Flag
MCR-10-020-6	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS69 (04) Procedure Code Flag
MCR-10-021-5	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS64 (05) Procedure Code Flag
MCR-10-022-17	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)
MCR-10-023-1	% of outpatient department claim lines that have accommodation codes
MCR-11-002-3	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61 with ER Place of Service (Medicaid Paid Amount > $0)
MCR-13-002-1	# of claim lines with capitated payments to HMOs, HIOs or PACE (119) plans
MCR-13-003-3	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122)
MCR-13-004-2	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120)
MCR-13-006_1-18	% of PCCM (TYPE-OF-SERVICE) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation PCCM plan
MCR-13-006_2-19	% of PCCM capitated payments with a non-missing plan ID where plan ID number equals the Billing Provider Number or Billing Provider NPI Number
MCR-13-006-7	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the current month
MCR-13-007-6	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the current month
MCR-13-008-5	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the current month
MCR-13-009-16	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the previous month
MCR-13-010-15	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the previous month
MCR-13-011-14	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the previous month
MCR-13-012-13	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service prior to the previous month
MCR-13-013-12	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service prior to the previous month
MCR-13-014-11	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service prior to the previous month
MCR-13-015-10	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in a future month
MCR-13-016-9	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in a future month
MCR-13-017-8	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in a future month
MCR-14-004-21	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61, 28, 41 with diagnosis codes
MCR-14-010-3	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag
MCR-14-012-10	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag
MCR-14-018-16	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have ICD9CM (02) or ICD10CM (07) Procedure Code Flag
MCR-14-019-7	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS74 (03) Procedure Code Flag
MCR-14-020-6	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS69 (04) Procedure Code Flag
MCR-14-021-5	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 that have CRVS64 (05) Procedure Code Flag
MCR-14-022-17	% of claim lines with TYPE-OF-SERVICE = 12, 25, 26 with local service code indicator (PROCEDURE-CODE-FLAG = 10 - 87)
MCR-14-023-1	% of outpatient department claim lines that have accommodation codes
MCR-15-002-2	% of claim lines with TYPE-OF-SERVICE = 12, 2, 61 with ER Place of Service (Medicaid Paid Amount > $0)
MCR-21-003-2	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
MCR-21-004-1	% of physician claim lines with Servicing Provider Specialty
MCR-22-002-1	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
MCR-24-003-2	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
MCR-24-004-1	% of physician claim lines with Servicing Provider Specialty
MCR-25-002-1	% of claim lines with TYPE-OF-SERVICE = 12, 29, 15, 2, 61, 28, 41 where Servicing Provider Number = Billing Provider Number
MCR-53-001-1	Total # of managed care enrollments
MCR-53-002-2	Total # of managed care capitations
MCR-53-003-3	Total # of managed care encounters
MCR-54-001-1	# of plans with at least 100 enrollments, 0 capitations, 0 encounters
MCR-54-002-2	# of plans with at least 100 enrollments or 100 capitations, 0 encounters
MCR-54-003-3	# of plans with at least 100 enrollments or 100 encounters, 0 capitations
MCR-54-004-4	# of plans with at least 100 enrollments and some capitations that have capitation ratios outside of the expected range (0.7 - 1.3)
MCR-54-005-5	# of plans with at least 100 capitations or 100 encounters, 0 enrollments
MCR-54-006-6	# of plans with at least 100 enrollments and some encounters that have IP ratios outside of the expected range (0.01 - 2)
MCR-54-007-7	# of plans with at least 100 enrollments and some encounters that have OT ratios outside of the expected range (0.1 - 20)
MCR-54-008-8	# of plans with at least 100 enrollments and some encounters that have RX ratios outside of the expected range (0.02 - 5)
MCR-54-009-9	# of plans with at least 100 enrollments, capitations, or encounters, that do not have a managed care record
MCR-54-010-10	# of plans where MC plan type does not match EL plan type
MCR-54-011-11	# of PCCM plan IDs
MCR-54-012-12	# of PCCM plans with at least 100 enrollments, capitations, or encounters, that do not have a managed care record
MCR-55-001-1	Traditional PCCM capitation ratio
MCR-55-002-2	Enhanced PCCM capitation ratio
MCR-55-003-3	PACE capitation ratio
MCR-9-002-1	# of claim lines with capitated payments to HMOs, HIOs or PACE (119) plans
MCR-9-003-3	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122)
MCR-9-004-2	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120)
MCR-9-006_1-18	% of PCCM (TYPE-OF-SERVICE) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation PCCM plan
MCR-9-006_2-19	% of PCCM capitated payments with a non-missing plan ID where plan ID number equals the Billing Provider Number or Billing Provider NPI Number
MCR-9-006-7	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the current month
MCR-9-007-6	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the current month
MCR-9-008-5	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the current month
MCR-9-009-16	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in the previous month
MCR-9-010-15	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in the previous month
MCR-9-011-14	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in the previous month
MCR-9-012-13	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service prior to the previous month
MCR-9-013-12	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service prior to the previous month
MCR-9-014-11	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service prior to the previous month
MCR-9-015-10	# of capitated payments to HMOs, HIOs or PACE (TYPE-OF-SERVICE = 119) plans with Ending Date of Service in a future month
MCR-9-016-9	# of capitated payments to PHPs (TYPE-OF-SERVICE = 122) with Ending Date of Service in a future month
MCR-9-017-8	# of capitated payments for PCCM (TYPE-OF-SERVICE = 120) with Ending Date of Service in a future month
MIS-7-030-31	% missing: TYPE-OF-SERVICE (COT00003)
TPL-6-001-1	# of claim lines with private health insurance (TYPE-OF-SERVICE = 121) premium with Ending Date of Service in the current month
TPL-6-002-4	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the previous month
TPL-6-003-3	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service prior to the previous month
TPL-6-004-2	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in a future month
TPL-7-001-1	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the current month
TPL-7-002-4	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in the previous month
TPL-7-003-3	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service prior to the previous month
TPL-7-004-2	# of claim lines with private health insurance premium (TYPE-OF-SERVICE = 121) with Ending Date of Service in a future month
MIS-26-031-31	% missing: TYPE-OF-SERVICE (COT00003)
MIS-84-030-30	% missing: TYPE-OF-SERVICE (COT00003)
MIS-88-001-1	% missing: TYPE-OF-SERVICE (COT00003)
MIS-90-001-1	% missing: TYPE-OF-SERVICE (COT00003)
RULE-7582	% of claim lines with TYPE-OF-SERVICE = 134 (Supplemental payment outpatient) that are not on a service tracking claim
RULE-7593	% of claim lines where TYPE-OF-SERVICE is missing or is not for a beneficiary-level payment
EL-8-001-1	Enrollment, capitation payments, and encounters by Plan Type
EXP-11-004-98	Total paid for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-11-005-109	Total paid for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-11-006-118	Total paid for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-11-007-124	Total paid for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-11-008-133	Total paid for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-11-009-143	Total paid for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-11-010-154	Total paid for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-11-011-86	Total paid for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-11-012-87	Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-11-013-89	Total paid for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-11-014-91	Total paid for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-11-015-92	Total paid for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-11-016-93	Total paid for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-11-017-94	Total paid for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-11-018-95	Total paid for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-11-019-96	Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-11-020-97	Total paid for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-11-021-99	Total paid for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-11-022-100	Total paid for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-11-023-101	Total paid for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-11-024-102	Total paid for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-11-025-103	Total paid for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-11-026-104	Total paid for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-11-027-105	Total paid for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-11-028-106	Total paid for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-11-029-107	Total paid for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-11-030-108	Total paid for TYPE-OF-SERVICE = 29 (Dental services)
EXP-11-031-110	Total paid for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-11-032-111	Total paid for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-11-033-112	Total paid for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-11-034-113	Total paid for TYPE-OF-SERVICE = 35 (Dentures)
EXP-11-035-114	Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-11-036-115	Total paid for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-11-037-116	Total paid for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-11-038-117	Total paid for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-11-039-119	Total paid for TYPE-OF-SERVICE = 40 (Screening services)
EXP-11-040-120	Total paid for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-11-041-121	Total paid for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-11-042-122	Total paid for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-11-043-123	Total paid for TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
EXP-11-044-125	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-11-045-126	Total paid for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-11-046-127	Total paid for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-11-047-128	Total paid for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-11-048-129	Total paid for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-11-049-130	Total paid for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-11-050-131	Total paid for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-11-051-132	Total paid for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-11-052-134	Total paid for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-11-053-135	Total paid for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-11-054-136	Total paid for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-11-055-137	Total paid for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-11-056-138	Total paid for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-11-057-139	Total paid for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-11-058-140	Total paid for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-11-059-141	Total paid for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-11-060-142	Total paid for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
EXP-11-061-144	Total paid for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-11-062-145	Total paid for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-11-063-146	Total paid for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-11-064-147	Total paid for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-11-065-148	Total paid for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-11-066-149	Total paid for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-11-067-150	Total paid for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-11-068-151	Total paid for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-11-069-152	Total paid for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-11-070-153	Total paid for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-11-071-155	Total paid for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-11-072-156	Total paid for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-11-073-157	Total paid for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-11-074-158	Total paid for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-11-075-159	Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
EXP-11-076-160	Total paid for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-11-077-161	Total paid for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
EXP-11-078-162	Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
EXP-11-079-88	Total paid for TYPE-OF-SERVICE = 115 (Residential care)
EXP-11-080-90	Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-11-083-18	Average paid per record for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-11-084-29	Average paid per record for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-11-085-38	Average paid per record for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-11-086-44	Average paid per record for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-11-087-53	Average paid per record for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-11-088-63	Average paid per record for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-11-089-74	Average paid per record for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-11-090-6	Average paid per record for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-11-091-7	Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-11-092-9	Average paid per record for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-11-093-11	Average paid per record for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-11-094-12	Average paid per record for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-11-095-13	Average paid per record for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-11-096-14	Average paid per record for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-11-097-15	Average paid per record for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-11-098-16	Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-11-099-17	Average paid per record for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-11-100-19	Average paid per record for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-11-101-20	Average paid per record for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-11-102-21	Average paid per record for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-11-103-22	Average paid per record for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-11-104-23	Average paid per record for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-11-105-24	Average paid per record for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-11-106-25	Average paid per record for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-11-107-26	Average paid per record for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-11-108-27	Average paid per record for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-11-109-28	Average paid per record for TYPE-OF-SERVICE = 29 (Dental services)
EXP-11-110-30	Average paid per record for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-11-111-31	Average paid per record for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-11-112-32	Average paid per record for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-11-113-33	Average paid per record for TYPE-OF-SERVICE = 35 (Dentures)
EXP-11-114-34	Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-11-115-35	Average paid per record for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-11-116-36	Average paid per record for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-11-117-37	Average paid per record for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-11-118-39	Average paid per record for TYPE-OF-SERVICE = 40 (Screening services)
EXP-11-119-40	Average paid per record for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-11-120-41	Average paid per record for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-11-121-42	Average paid per record for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-11-122-43	Average paid per record for TYPE-OF-SERVICE = 49 (Outpatient mental health services)
EXP-11-123-45	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-11-124-46	Average paid per record for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-11-125-47	Average paid per record for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-11-126-48	Average paid per record for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-11-127-49	Average paid per record for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-11-128-50	Average paid per record for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-11-129-51	Average paid per record for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-11-130-52	Average paid per record for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-11-131-54	Average paid per record for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-11-132-55	Average paid per record for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-11-133-56	Average paid per record for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-11-134-57	Average paid per record for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-11-135-58	Average paid per record for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-11-136-59	Average paid per record for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-11-137-60	Average paid per record for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-11-138-61	Average paid per record for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-11-139-62	Average paid per record for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services)
EXP-11-140-64	Average paid per record for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-11-141-65	Average paid per record for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-11-142-66	Average paid per record for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-11-143-67	Average paid per record for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-11-144-68	Average paid per record for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-11-145-69	Average paid per record for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-11-146-70	Average paid per record for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-11-147-71	Average paid per record for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-11-148-72	Average paid per record for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-11-149-73	Average paid per record for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-11-150-75	Average paid per record for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-11-151-76	Average paid per record for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-11-152-77	Average paid per record for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-11-153-78	Average paid per record for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-11-154-79	Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
EXP-11-155-80	Average paid per record for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-11-156-81	Average paid per record for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations)
EXP-11-157-82	Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
EXP-11-158-8	Average paid per record for TYPE-OF-SERVICE = 115 (Residential care)
EXP-11-159-10	Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-12-002-94	Total paid for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-12-003-105	Total paid for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-12-004-114	Total paid for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-12-005-120	Total paid for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-12-006-129	Total paid for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-12-007-139	Total paid for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-12-008-150	Total paid for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-12-009-82	Total paid for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-12-010-83	Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-12-011-85	Total paid for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-12-012-87	Total paid for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-12-013-88	Total paid for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-12-014-89	Total paid for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-12-015-90	Total paid for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-12-016-91	Total paid for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-12-017-92	Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-12-018-93	Total paid for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-12-019-95	Total paid for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-12-020-96	Total paid for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-12-021-97	Total paid for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-12-022-98	Total paid for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-12-023-99	Total paid for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-12-024-100	Total paid for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-12-025-101	Total paid for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-12-026-102	Total paid for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-12-027-103	Total paid for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-12-028-104	Total paid for TYPE-OF-SERVICE = 29 (Dental services)
EXP-12-029-106	Total paid for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-12-030-107	Total paid for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-12-031-108	Total paid for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-12-032-109	Total paid for TYPE-OF-SERVICE = 35 (Dentures)
EXP-12-033-110	Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-12-034-111	Total paid for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-12-035-112	Total paid for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-12-036-113	Total paid for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-12-037-115	Total paid for TYPE-OF-SERVICE = 40 (Screening services)
EXP-12-038-116	Total paid for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-12-039-117	Total paid for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-12-040-118	Total paid for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-12-041-119	Total paid for TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
EXP-12-042-121	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-12-043-122	Total paid for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-12-044-123	Total paid for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-12-045-124	Total paid for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-12-046-125	Total paid for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-12-047-126	Total paid for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-12-048-127	Total paid for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-12-049-128	Total paid for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-12-050-130	Total paid for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-12-051-131	Total paid for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-12-052-132	Total paid for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-12-053-133	Total paid for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-12-054-134	Total paid for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-12-055-135	Total paid for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-12-056-136	Total paid for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-12-057-137	Total paid for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-12-058-138	Total paid for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
EXP-12-059-140	Total paid for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-12-060-141	Total paid for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-12-061-142	Total paid for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-12-062-143	Total paid for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-12-063-144	Total paid for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-12-064-145	Total paid for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-12-065-146	Total paid for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-12-066-147	Total paid for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-12-067-148	Total paid for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-12-068-149	Total paid for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-12-069-151	Total paid for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-12-070-152	Total paid for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-12-071-153	Total paid for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-12-072-154	Total paid for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-12-073-155	Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
EXP-12-074-156	Total paid for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-12-075-157	Total paid for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
EXP-12-076-158	Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
EXP-12-077-84	Total paid for TYPE-OF-SERVICE = 115 (Residential care)
EXP-12-078-86	Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-12-081-16	Average paid per record for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-12-082-27	Average paid per record for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-12-083-36	Average paid per record for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-12-084-42	Average paid per record for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-12-085-51	Average paid per record for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-12-086-61	Average paid per record for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-12-087-72	Average paid per record for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-12-088-4	Average paid per record for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-12-089-5	Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-12-090-7	Average paid per record for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-12-091-9	Average paid per record for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-12-092-10	Average paid per record for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-12-093-11	Average paid per record for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-12-094-12	Average paid per record for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-12-095-13	Average paid per record for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-12-096-14	Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-12-097-15	Average paid per record for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-12-098-17	Average paid per record for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-12-099-18	Average paid per record for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-12-100-19	Average paid per record for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-12-101-20	Average paid per record for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-12-102-21	Average paid per record for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-12-103-22	Average paid per record for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-12-104-23	Average paid per record for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-12-105-24	Average paid per record for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-12-106-25	Average paid per record for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-12-107-26	Average paid per record for TYPE-OF-SERVICE = 29 (Dental services)
EXP-12-108-28	Average paid per record for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-12-109-29	Average paid per record for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-12-110-30	Average paid per record for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-12-111-31	Average paid per record for TYPE-OF-SERVICE = 35 (Dentures)
EXP-12-112-32	Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-12-113-33	Average paid per record for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-12-114-34	Average paid per record for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-12-115-35	Average paid per record for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-12-116-37	Average paid per record for TYPE-OF-SERVICE = 40 (Screening services)
EXP-12-117-38	Average paid per record for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-12-118-39	Average paid per record for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-12-119-40	Average paid per record for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-12-120-41	Average paid per record for TYPE-OF-SERVICE = 49 (Outpatient mental health services)
EXP-12-121-43	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-12-122-44	Average paid per record for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-12-123-45	Average paid per record for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-12-124-46	Average paid per record for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-12-125-47	Average paid per record for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-12-126-48	Average paid per record for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-12-127-49	Average paid per record for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-12-128-50	Average paid per record for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-12-129-52	Average paid per record for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-12-130-53	Average paid per record for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-12-131-54	Average paid per record for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-12-132-55	Average paid per record for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-12-133-56	Average paid per record for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-12-134-57	Average paid per record for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-12-135-58	Average paid per record for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-12-136-59	Average paid per record for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-12-137-60	Average paid per record for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services)
EXP-12-138-62	Average paid per record for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-12-139-63	Average paid per record for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-12-140-64	Average paid per record for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-12-141-65	Average paid per record for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-12-142-66	Average paid per record for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-12-143-67	Average paid per record for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-12-144-68	Average paid per record for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-12-145-69	Average paid per record for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-12-146-70	Average paid per record for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-12-147-71	Average paid per record for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-12-148-73	Average paid per record for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-12-149-74	Average paid per record for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-12-150-75	Average paid per record for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-12-151-76	Average paid per record for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-12-152-77	Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
EXP-12-153-78	Average paid per record for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-12-154-79	Average paid per record for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations)
EXP-12-155-80	Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
EXP-12-156-6	Average paid per record for TYPE-OF-SERVICE = 115 (Residential care)
EXP-12-157-8	Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-15-001-90	Total paid for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-15-002-101	Total paid for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-15-003-110	Total paid for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-15-004-116	Total paid for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-15-005-125	Total paid for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-15-006-135	Total paid for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-15-007-146	Total paid for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-15-008-78	Total paid for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-15-009-79	Total paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-15-010-81	Total paid for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-15-011-83	Total paid for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-15-012-84	Total paid for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-15-013-85	Total paid for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-15-014-86	Total paid for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-15-015-87	Total paid for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-15-016-88	Total paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-15-017-89	Total paid for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-15-018-91	Total paid for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-15-019-92	Total paid for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-15-020-93	Total paid for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-15-021-94	Total paid for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-15-022-95	Total paid for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-15-023-96	Total paid for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-15-024-97	Total paid for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-15-025-98	Total paid for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-15-026-99	Total paid for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-15-027-100	Total paid for TYPE-OF-SERVICE = 29 (Dental services)
EXP-15-028-102	Total paid for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-15-029-103	Total paid for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-15-030-104	Total paid for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-15-031-105	Total paid for TYPE-OF-SERVICE = 35 (Dentures)
EXP-15-032-106	Total paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-15-033-107	Total paid for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-15-034-108	Total paid for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-15-035-109	Total paid for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-15-036-111	Total paid for TYPE-OF-SERVICE = 40 (Screening services)
EXP-15-037-112	Total paid for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-15-038-113	Total paid for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-15-039-114	Total paid for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-15-040-115	Total paid for TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
EXP-15-041-117	Total paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-15-042-118	Total paid for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-15-043-119	Total paid for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-15-044-120	Total paid for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-15-045-121	Total paid for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-15-046-122	Total paid for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-15-047-123	Total paid for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-15-048-124	Total paid for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-15-049-126	Total paid for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-15-050-127	Total paid for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-15-051-128	Total paid for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-15-052-129	Total paid for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-15-053-130	Total paid for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-15-054-131	Total paid for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-15-055-132	Total paid for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-15-056-133	Total paid for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-15-057-134	Total paid for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
EXP-15-058-136	Total paid for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-15-059-137	Total paid for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-15-060-138	Total paid for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-15-061-139	Total paid for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-15-062-140	Total paid for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-15-063-141	Total paid for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-15-064-142	Total paid for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-15-065-143	Total paid for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-15-066-144	Total paid for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-15-067-145	Total paid for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-15-068-147	Total paid for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-15-069-148	Total paid for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-15-070-149	Total paid for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-15-071-150	Total paid for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-15-072-151	Total paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
EXP-15-073-152	Total paid for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-15-074-153	Total paid for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
EXP-15-075-154	Total paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
EXP-15-076-80	Total paid for TYPE-OF-SERVICE = 115 (Residential care)
EXP-15-077-82	Total paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-15-078-13	Average paid per record for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
EXP-15-079-24	Average paid per record for TYPE-OF-SERVICE = 3 (Rural health clinic services)
EXP-15-080-33	Average paid per record for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
EXP-15-081-39	Average paid per record for TYPE-OF-SERVICE = 5 (Professional laboratory services)
EXP-15-082-48	Average paid per record for TYPE-OF-SERVICE = 6 (Technical laboratory services)
EXP-15-083-58	Average paid per record for TYPE-OF-SERVICE = 7 (Professional radiological services)
EXP-15-084-69	Average paid per record for TYPE-OF-SERVICE = 8 (Technical radiological services)
EXP-15-085-1	Average paid per record for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
EXP-15-086-2	Average paid per record for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
EXP-15-087-4	Average paid per record for TYPE-OF-SERVICE = 12 (Physicians' services)
EXP-15-088-6	Average paid per record for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
EXP-15-089-7	Average paid per record for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
EXP-15-090-8	Average paid per record for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
EXP-15-091-9	Average paid per record for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
EXP-15-092-10	Average paid per record for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
EXP-15-093-11	Average paid per record for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
EXP-15-094-12	Average paid per record for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-15-095-14	Average paid per record for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
EXP-15-096-15	Average paid per record for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
EXP-15-097-16	Average paid per record for TYPE-OF-SERVICE = 22 (Private duty nursing services)
EXP-15-098-17	Average paid per record for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
EXP-15-099-18	Average paid per record for TYPE-OF-SERVICE = 24 (Pediatric nurse)
EXP-15-100-19	Average paid per record for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
EXP-15-101-20	Average paid per record for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
EXP-15-102-21	Average paid per record for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
EXP-15-103-22	Average paid per record for TYPE-OF-SERVICE = 28 (Clinic services)
EXP-15-104-23	Average paid per record for TYPE-OF-SERVICE = 29 (Dental services)
EXP-15-105-25	Average paid per record for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
EXP-15-106-26	Average paid per record for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
EXP-15-107-27	Average paid per record for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
EXP-15-108-28	Average paid per record for TYPE-OF-SERVICE = 35 (Dentures)
EXP-15-109-29	Average paid per record for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
EXP-15-110-30	Average paid per record for TYPE-OF-SERVICE = 37 (Eyeglasses)
EXP-15-111-31	Average paid per record for TYPE-OF-SERVICE = 38 (Hearing Aids)
EXP-15-112-32	Average paid per record for TYPE-OF-SERVICE = 39 (Diagnostic services)
EXP-15-113-34	Average paid per record for TYPE-OF-SERVICE = 40 (Screening services)
EXP-15-114-35	Average paid per record for TYPE-OF-SERVICE = 41 (Preventive services)
EXP-15-115-36	Average paid per record for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
EXP-15-116-37	Average paid per record for TYPE-OF-SERVICE = 43 (Rehabilitative services)
EXP-15-117-38	Average paid per record for TYPE-OF-SERVICE = 49 (Outpatient mental health services)
EXP-15-118-40	Average paid per record for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
EXP-15-119-41	Average paid per record for TYPE-OF-SERVICE = 51 (Personal care services)
EXP-15-120-42	Average paid per record for TYPE-OF-SERVICE = 52 (Primary care case management services)
EXP-15-121-43	Average paid per record for TYPE-OF-SERVICE = 53 (Targeted case management services )
EXP-15-122-44	Average paid per record for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
EXP-15-123-45	Average paid per record for TYPE-OF-SERVICE = 55 (Care coordination services)
EXP-15-124-46	Average paid per record for TYPE-OF-SERVICE = 56 (Transportation services)
EXP-15-125-47	Average paid per record for TYPE-OF-SERVICE = 57 (Enabling services)
EXP-15-126-49	Average paid per record for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
EXP-15-127-50	Average paid per record for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
EXP-15-128-51	Average paid per record for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
EXP-15-129-52	Average paid per record for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
EXP-15-130-53	Average paid per record for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
EXP-15-131-54	Average paid per record for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
EXP-15-132-55	Average paid per record for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
EXP-15-133-56	Average paid per record for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
EXP-15-134-57	Average paid per record for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services)
EXP-15-135-59	Average paid per record for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
EXP-15-136-60	Average paid per record for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
EXP-15-137-61	Average paid per record for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
EXP-15-138-62	Average paid per record for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
EXP-15-139-63	Average paid per record for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
EXP-15-140-64	Average paid per record for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
EXP-15-141-65	Average paid per record for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
EXP-15-142-66	Average paid per record for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
EXP-15-143-67	Average paid per record for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
EXP-15-144-68	Average paid per record for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
EXP-15-145-70	Average paid per record for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
EXP-15-146-71	Average paid per record for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
EXP-15-147-72	Average paid per record for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
EXP-15-148-73	Average paid per record for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
EXP-15-149-74	Average paid per record for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies)
EXP-15-150-75	Average paid per record for TYPE-OF-SERVICE = 87 (Hospice services)
EXP-15-151-76	Average paid per record for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations)
EXP-15-151-77	Average paid per record for TYPE-OF-SERVICE = 89 (Disposable medical supplies)
EXP-15-153-3	Average paid per record for TYPE-OF-SERVICE = 115 (Residential care)
EXP-15-154-5	Average paid per record for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
EXP-26-001-1	Capitation payments by Plan ID (non-PCCM)
EXP-26-002-2	% of total capitation amount paid on Plan IDs not found in Managed Care file
EXP-26-003-3	% of total capitation amount paid with unknown or non-specified Plan IDs
FFS-10-008-19	% of records with TYPE-OF-SERVICE = 2 (Outpatient hospital services)
FFS-10-009-30	% of records with TYPE-OF-SERVICE = 3 (Rural health clinic services)
FFS-10-010-39	% of records with TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
FFS-10-011-45	% of records with TYPE-OF-SERVICE = 5 (Professional laboratory services)
FFS-10-012-54	% of records with TYPE-OF-SERVICE = 6 (Technical laboratory services)
FFS-10-013-64	% of records with TYPE-OF-SERVICE = 7 (Professional radiological services)
FFS-10-014-75	% of records with TYPE-OF-SERVICE = 8 (Technical radiological services)
FFS-10-015-6	% of records with TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
FFS-10-016-7	% of records with TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
FFS-10-017-9	% of records with TYPE-OF-SERVICE = 12 (Physicians' services)
FFS-10-018-11	% of records with TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
FFS-10-019-13	% of records with TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
FFS-10-020-14	% of records with TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
FFS-10-021-15	% of records with TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
FFS-10-022-16	% of records with TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
FFS-10-023-17	% of records with TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
FFS-10-024-18	% of records with TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-10-025-20	% of records with TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-10-026-21	% of records with TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
FFS-10-027-22	% of records with TYPE-OF-SERVICE = 22 (Private duty nursing services)
FFS-10-028-23	% of records with TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
FFS-10-029-24	% of records with TYPE-OF-SERVICE = 24 (Pediatric nurse)
FFS-10-030-25	% of records with TYPE-OF-SERVICE = 25 (Nurse-midwife service)
FFS-10-031-26	% of records with TYPE-OF-SERVICE = 26 (Nurse practitioner services)
FFS-10-032-27	% of records with TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
FFS-10-033-28	% of records with TYPE-OF-SERVICE = 28 (Clinic services)
FFS-10-034-29	% of records with TYPE-OF-SERVICE = 29 (Dental services)
FFS-10-035-31	% of records with TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
FFS-10-036-32	% of records with TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
FFS-10-037-33	% of records with TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
FFS-10-038-34	% of records with TYPE-OF-SERVICE = 35 (Dentures)
FFS-10-039-35	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
FFS-10-040-36	% of records with TYPE-OF-SERVICE = 37 (Eyeglasses)
FFS-10-041-37	% of records with TYPE-OF-SERVICE = 38 (Hearing Aids)
FFS-10-042-38	% of records with TYPE-OF-SERVICE = 39 (Diagnostic services)
FFS-10-043-40	% of records with TYPE-OF-SERVICE = 40 (Screening services)
FFS-10-044-41	% of records with TYPE-OF-SERVICE = 41 (Preventive services)
FFS-10-045-42	% of records with TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
FFS-10-046-43	% of records with TYPE-OF-SERVICE = 43 (Rehabilitative services)
FFS-10-047-44	% of records with TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
FFS-10-048-46	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-10-049-47	% of records with TYPE-OF-SERVICE = 51 (Personal care services)
FFS-10-050-48	% of records with TYPE-OF-SERVICE = 52 (Primary care case management services)
FFS-10-051-49	% of records with TYPE-OF-SERVICE = 53 (Targeted case management services )
FFS-10-052-50	% of records with TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
FFS-10-053-51	% of records with TYPE-OF-SERVICE = 55 (Care coordination services)
FFS-10-054-52	% of records with TYPE-OF-SERVICE = 56 (Transportation services)
FFS-10-055-53	% of records with TYPE-OF-SERVICE = 57 (Enabling services)
FFS-10-056-55	% of records with TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
FFS-10-057-56	% of records with TYPE-OF-SERVICE = 62 (HCBS - Case management services)
FFS-10-058-57	% of records with TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
FFS-10-059-58	% of records with TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
FFS-10-060-59	% of records with TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
FFS-10-061-60	% of records with TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
FFS-10-062-61	% of records with TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
FFS-10-063-62	% of records with TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
FFS-10-064-63	% of records with TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
FFS-10-065-65	% of records with TYPE-OF-SERVICE = 70 (HCBS - Day Care)
FFS-10-066-66	% of records with TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
FFS-10-067-67	% of records with TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
FFS-10-068-68	% of records with TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
FFS-10-069-69	% of records with TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
FFS-10-070-70	% of records with TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
FFS-10-071-71	% of records with TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
FFS-10-072-72	% of records with TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
FFS-10-073-73	% of records with TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
FFS-10-074-74	% of records with TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
FFS-10-075-76	% of records with TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
FFS-10-076-77	% of records with TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
FFS-10-077-78	% of records with TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
FFS-10-078-79	% of records with TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
FFS-10-079-80	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
FFS-10-080-81	% of records with TYPE-OF-SERVICE = 87 (Hospice services)
FFS-10-081-82	% of records with TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
FFS-10-082-83	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
FFS-10-083-8	% of records with TYPE-OF-SERVICE = 115 (Residential care)
FFS-10-084-10	% of records with TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
FFS-10-085-12	% of records with TYPE-OF-SERVICE = 131 (Drug Rebates)
FFS-11-004-20	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 41, 14 with DX Codes
FFS-11-006-22	% of records with TYPE-OF-SERVICE = 12,2, 61, 28, 47 with DX Codes
FFS-11-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
FFS-11-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
FFS-11-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
FFS-11-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
FFS-11-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
FFS-11-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
FFS-13-002-15	% of records with TYPE-OF-SERVICE = 2 (Outpatient hospital services)
FFS-13-003-26	% of records with TYPE-OF-SERVICE = 3 (Rural health clinic services)
FFS-13-004-35	% of records with TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
FFS-13-005-41	% of records with TYPE-OF-SERVICE = 5 (Professional laboratory services)
FFS-13-006-50	% of records with TYPE-OF-SERVICE = 6 (Technical laboratory services)
FFS-13-007-60	% of records with TYPE-OF-SERVICE = 7 (Professional radiological services)
FFS-13-008-71	% of records with TYPE-OF-SERVICE = 8 (Technical radiological services)
FFS-13-009-2	% of records with TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
FFS-13-010-3	% of records with TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
FFS-13-011-5	% of records with TYPE-OF-SERVICE = 12 (Physicians' services)
FFS-13-012-7	% of records with TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
FFS-13-013-9	% of records with TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
FFS-13-014-10	% of records with TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
FFS-13-015-11	% of records with TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
FFS-13-016-12	% of records with TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
FFS-13-017-13	% of records with TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
FFS-13-018-14	% of records with TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-13-019-16	% of records with TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-13-020-17	% of records with TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
FFS-13-021-18	% of records with TYPE-OF-SERVICE = 22 (Private duty nursing services)
FFS-13-022-19	% of records with TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
FFS-13-023-20	% of records with TYPE-OF-SERVICE = 24 (Pediatric nurse)
FFS-13-024-21	% of records with TYPE-OF-SERVICE = 25 (Nurse-midwife service)
FFS-13-025-22	% of records with TYPE-OF-SERVICE = 26 (Nurse practitioner services)
FFS-13-026-23	% of records with TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
FFS-13-027-24	% of records with TYPE-OF-SERVICE = 28 (Clinic services)
FFS-13-028-25	% of records with TYPE-OF-SERVICE = 29 (Dental services)
FFS-13-029-27	% of records with TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
FFS-13-030-28	% of records with TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
FFS-13-031-29	% of records with TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
FFS-13-032-30	% of records with TYPE-OF-SERVICE = 35 (Dentures)
FFS-13-033-31	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
FFS-13-034-32	% of records with TYPE-OF-SERVICE = 37 (Eyeglasses)
FFS-13-035-33	% of records with TYPE-OF-SERVICE = 38 (Hearing Aids)
FFS-13-036-34	% of records with TYPE-OF-SERVICE = 39 (Diagnostic services)
FFS-13-037-36	% of records with TYPE-OF-SERVICE = 40 (Screening services)
FFS-13-038-37	% of records with TYPE-OF-SERVICE = 41 (Preventive services)
FFS-13-039-38	% of records with TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
FFS-13-040-39	% of records with TYPE-OF-SERVICE = 43 (Rehabilitative services)
FFS-13-041-40	% of records with TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
FFS-13-042-42	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-13-043-43	% of records with TYPE-OF-SERVICE = 51 (Personal care services)
FFS-13-044-44	% of records with TYPE-OF-SERVICE = 52 (Primary care case management services)
FFS-13-045-45	% of records with TYPE-OF-SERVICE = 53 (Targeted case management services )
FFS-13-046-46	% of records with TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
FFS-13-047-47	% of records with TYPE-OF-SERVICE = 55 (Care coordination services)
FFS-13-048-48	% of records with TYPE-OF-SERVICE = 56 (Transportation services)
FFS-13-049-49	% of records with TYPE-OF-SERVICE = 57 (Enabling services)
FFS-13-050-51	% of records with TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
FFS-13-051-52	% of records with TYPE-OF-SERVICE = 62 (HCBS - Case management services)
FFS-13-052-53	% of records with TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
FFS-13-053-54	% of records with TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
FFS-13-054-55	% of records with TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
FFS-13-055-56	% of records with TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
FFS-13-056-57	% of records with TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
FFS-13-057-58	% of records with TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
FFS-13-058-59	% of records with TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
FFS-13-059-61	% of records with TYPE-OF-SERVICE = 70 (HCBS - Day Care)
FFS-13-060-62	% of records with TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
FFS-13-061-63	% of records with TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
FFS-13-062-64	% of records with TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
FFS-13-063-65	% of records with TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
FFS-13-064-66	% of records with TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
FFS-13-065-67	% of records with TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
FFS-13-066-68	% of records with TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
FFS-13-067-69	% of records with TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
FFS-13-068-70	% of records with TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
FFS-13-069-72	% of records with TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
FFS-13-070-73	% of records with TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
FFS-13-071-74	% of records with TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
FFS-13-072-75	% of records with TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
FFS-13-073-76	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
FFS-13-074-77	% of records with TYPE-OF-SERVICE = 87 (Hospice services)
FFS-13-075-78	% of records with TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
FFS-13-076-79	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
FFS-13-077-4	% of records with TYPE-OF-SERVICE = 115 (Residential care)
FFS-13-078-6	% of records with TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
FFS-13-079-8	% of records with TYPE-OF-SERVICE = 131 (Drug Rebates)
FFS-9-005-99	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 41, 14 with DX Codes
FFS-9-006-101	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 45 with DX Codes
FFS-9-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
FFS-9-014-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
FFS-9-015-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
FFS-9-016-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
FFS-9-017-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
FFS-9-018-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
FFS-9-026-33	% of records with TYPE-OF-SERVICE = 2 (Outpatient hospital services)
FFS-9-027-44	% of records with TYPE-OF-SERVICE = 3 (Rural health clinic services)
FFS-9-028-53	% of records with TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
FFS-9-029-59	% of records with TYPE-OF-SERVICE = 5 (Professional laboratory services)
FFS-9-030-68	% of records with TYPE-OF-SERVICE = 6 (Technical laboratory services)
FFS-9-031-78	% of records with TYPE-OF-SERVICE = 7 (Professional radiological services)
FFS-9-032-89	% of records with TYPE-OF-SERVICE = 8 (Technical radiological services)
FFS-9-033-20	% of records with TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
FFS-9-034-21	% of records with TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
FFS-9-035-23	% of records with TYPE-OF-SERVICE = 12 (Physicians' services)
FFS-9-036-25	% of records with TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
FFS-9-037-27	% of records with TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
FFS-9-038-28	% of records with TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
FFS-9-039-29	% of records with TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
FFS-9-040-30	% of records with TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
FFS-9-041-31	% of records with TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
FFS-9-042-32	% of records with TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-9-043-34	% of records with TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
FFS-9-044-35	% of records with TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
FFS-9-045-36	% of records with TYPE-OF-SERVICE = 22 (Private duty nursing services)
FFS-9-046-37	% of records with TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
FFS-9-047-38	% of records with TYPE-OF-SERVICE = 24 (Pediatric nurse)
FFS-9-048-39	% of records with TYPE-OF-SERVICE = 25 (Nurse-midwife service)
FFS-9-049-40	% of records with TYPE-OF-SERVICE = 26 (Nurse practitioner services)
FFS-9-050-41	% of records with TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
FFS-9-051-42	% of records with TYPE-OF-SERVICE = 28 (Clinic services)
FFS-9-052-43	% of records with TYPE-OF-SERVICE = 29 (Dental services)
FFS-9-053-45	% of records with TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
FFS-9-054-46	% of records with TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
FFS-9-055-47	% of records with TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
FFS-9-056-48	% of records with TYPE-OF-SERVICE = 35 (Dentures)
FFS-9-057-49	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
FFS-9-058-50	% of records with TYPE-OF-SERVICE = 37 (Eyeglasses)
FFS-9-059-51	% of records with TYPE-OF-SERVICE = 38 (Hearing Aids)
FFS-9-060-52	% of records with TYPE-OF-SERVICE = 39 (Diagnostic services)
FFS-9-061-54	% of records with TYPE-OF-SERVICE = 40 (Screening services)
FFS-9-062-55	% of records with TYPE-OF-SERVICE = 41 (Preventive services)
FFS-9-063-56	% of records with TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
FFS-9-064-57	% of records with TYPE-OF-SERVICE = 43 (Rehabilitative services)
FFS-9-065-58	% of records with TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
FFS-9-066-60	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
FFS-9-067-61	% of records with TYPE-OF-SERVICE = 51 (Personal care services)
FFS-9-068-62	% of records with TYPE-OF-SERVICE = 52 (Primary care case management services)
FFS-9-069-63	% of records with TYPE-OF-SERVICE = 53 (Targeted case management services )
FFS-9-070-64	% of records with TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
FFS-9-071-65	% of records with TYPE-OF-SERVICE = 55 (Care coordination services)
FFS-9-072-66	% of records with TYPE-OF-SERVICE = 56 (Transportation services)
FFS-9-073-67	% of records with TYPE-OF-SERVICE = 57 (Enabling services)
FFS-9-074-69	% of records with TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
FFS-9-075-70	% of records with TYPE-OF-SERVICE = 62 (HCBS - Case management services)
FFS-9-076-71	% of records with TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
FFS-9-077-72	% of records with TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
FFS-9-078-73	% of records with TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
FFS-9-079-74	% of records with TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
FFS-9-080-75	% of records with TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
FFS-9-081-76	% of records with TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
FFS-9-082-77	% of records with TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
FFS-9-083-79	% of records with TYPE-OF-SERVICE = 70 (HCBS - Day Care)
FFS-9-084-80	% of records with TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
FFS-9-085-81	% of records with TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
FFS-9-086-82	% of records with TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
FFS-9-087-83	% of records with TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
FFS-9-088-84	% of records with TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
FFS-9-089-85	% of records with TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
FFS-9-090-86	% of records with TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
FFS-9-091-87	% of records with TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
FFS-9-092-88	% of records with TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
FFS-9-093-90	% of records with TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
FFS-9-094-91	% of records with TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
FFS-9-095-92	% of records with TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
FFS-9-096-93	% of records with TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
FFS-9-097-94	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
FFS-9-098-95	% of records with TYPE-OF-SERVICE = 87 (Hospice services)
FFS-9-099-96	% of records with TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
FFS-9-100-97	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
FFS-9-101-22	% of records with TYPE-OF-SERVICE = 115 (Residential care)
FFS-9-102-24	% of records with TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
FFS-9-103-26	% of records with TYPE-OF-SERVICE = 131 (Drug Rebates)
MCR-10-004-20	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 41, 14 with DX Codes
MCR-10-006-22	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 46 with DX Codes
MCR-10-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
MCR-10-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
MCR-10-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
MCR-10-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
MCR-10-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
MCR-10-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
MCR-12-002-14	% of records with TYPE-OF-SERVICE = 2 (Outpatient hospital services)
MCR-12-003-25	% of records with TYPE-OF-SERVICE = 3 (Rural health clinic services)
MCR-12-004-34	% of records with TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
MCR-12-005-40	% of records with TYPE-OF-SERVICE = 5 (Professional laboratory services)
MCR-12-006-49	% of records with TYPE-OF-SERVICE = 6 (Technical laboratory services)
MCR-12-007-59	% of records with TYPE-OF-SERVICE = 7 (Professional radiological services)
MCR-12-008-70	% of records with TYPE-OF-SERVICE = 8 (Technical radiological services)
MCR-12-009-2	% of records with TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
MCR-12-010-3	% of records with TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
MCR-12-011-5	% of records with TYPE-OF-SERVICE = 12 (Physicians' services)
MCR-12-012-7	% of records with TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
MCR-12-013-8	% of records with TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
MCR-12-014-9	% of records with TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
MCR-12-015-10	% of records with TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
MCR-12-016-11	% of records with TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
MCR-12-017-12	% of records with TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
MCR-12-018-13	% of records with TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-12-019-15	% of records with TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-12-020-16	% of records with TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
MCR-12-021-17	% of records with TYPE-OF-SERVICE = 22 (Private duty nursing services)
MCR-12-022-18	% of records with TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
MCR-12-023-19	% of records with TYPE-OF-SERVICE = 24 (Pediatric nurse)
MCR-12-024-20	% of records with TYPE-OF-SERVICE = 25 (Nurse-midwife service)
MCR-12-025-21	% of records with TYPE-OF-SERVICE = 26 (Nurse practitioner services)
MCR-12-026-22	% of records with TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
MCR-12-027-23	% of records with TYPE-OF-SERVICE = 28 (Clinic services)
MCR-12-028-24	% of records with TYPE-OF-SERVICE = 29 (Dental services)
MCR-12-029-26	% of records with TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
MCR-12-030-27	% of records with TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
MCR-12-031-28	% of records with TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
MCR-12-032-29	% of records with TYPE-OF-SERVICE = 35 (Dentures)
MCR-12-033-30	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
MCR-12-034-31	% of records with TYPE-OF-SERVICE = 37 (Eyeglasses)
MCR-12-035-32	% of records with TYPE-OF-SERVICE = 38 (Hearing Aids)
MCR-12-036-33	% of records with TYPE-OF-SERVICE = 39 (Diagnostic services)
MCR-12-037-35	% of records with TYPE-OF-SERVICE = 40 (Screening services)
MCR-12-038-36	% of records with TYPE-OF-SERVICE = 41 (Preventive services)
MCR-12-039-37	% of records with TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
MCR-12-040-38	% of records with TYPE-OF-SERVICE = 43 (Rehabilitative services)
MCR-12-041-39	% of records with TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
MCR-12-042-41	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-12-043-42	% of records with TYPE-OF-SERVICE = 51 (Personal care services)
MCR-12-044-43	% of records with TYPE-OF-SERVICE = 52 (Primary care case management services)
MCR-12-045-44	% of records with TYPE-OF-SERVICE = 53 (Targeted case management services )
MCR-12-046-45	% of records with TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
MCR-12-047-46	% of records with TYPE-OF-SERVICE = 55 (Care coordination services)
MCR-12-048-47	% of records with TYPE-OF-SERVICE = 56 (Transportation services)
MCR-12-049-48	% of records with TYPE-OF-SERVICE = 57 (Enabling services)
MCR-12-050-50	% of records with TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
MCR-12-051-51	% of records with TYPE-OF-SERVICE = 62 (HCBS - Case management services)
MCR-12-052-52	% of records with TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
MCR-12-053-53	% of records with TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
MCR-12-054-54	% of records with TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
MCR-12-055-55	% of records with TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
MCR-12-056-56	% of records with TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
MCR-12-057-57	% of records with TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
MCR-12-058-58	% of records with TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
MCR-12-059-60	% of records with TYPE-OF-SERVICE = 70 (HCBS - Day Care)
MCR-12-060-61	% of records with TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
MCR-12-061-62	% of records with TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
MCR-12-062-63	% of records with TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
MCR-12-063-64	% of records with TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
MCR-12-064-65	% of records with TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
MCR-12-065-66	% of records with TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
MCR-12-066-67	% of records with TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
MCR-12-067-68	% of records with TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
MCR-12-068-69	% of records with TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
MCR-12-069-71	% of records with TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
MCR-12-070-72	% of records with TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
MCR-12-071-73	% of records with TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
MCR-12-072-74	% of records with TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
MCR-12-073-75	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
MCR-12-074-76	% of records with TYPE-OF-SERVICE = 87 (Hospice services)
MCR-12-075-77	% of records with TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
MCR-12-076-78	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
MCR-12-077-4	% of records with TYPE-OF-SERVICE = 115 (Residential care)
MCR-12-078-6	% of records with TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
MCR-12-079-91	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 2 (Outpatient hospital services)
MCR-12-080-102	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 3 (Rural health clinic services)
MCR-12-081-111	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
MCR-12-082-117	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 5 (Professional laboratory services)
MCR-12-083-126	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 6 (Technical laboratory services)
MCR-12-084-136	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 7 (Professional radiological services)
MCR-12-085-147	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 8 (Technical radiological services)
MCR-12-086-79	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
MCR-12-087-80	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
MCR-12-088-82	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 12 (Physicians' services)
MCR-12-089-84	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
MCR-12-090-85	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
MCR-12-091-86	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
MCR-12-092-87	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
MCR-12-093-88	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
MCR-12-094-89	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
MCR-12-095-90	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-12-096-92	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-12-097-93	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
MCR-12-098-94	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 22 (Private duty nursing services)
MCR-12-099-95	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
MCR-12-100-96	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 24 (Pediatric nurse)
MCR-12-101-97	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 25 (Nurse-midwife service)
MCR-12-102-98	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 26 (Nurse practitioner services)
MCR-12-103-99	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
MCR-12-104-100	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 28 (Clinic services)
MCR-12-105-101	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 29 (Dental services)
MCR-12-106-103	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
MCR-12-107-104	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
MCR-12-108-105	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
MCR-12-109-106	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 35 (Dentures)
MCR-12-110-107	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
MCR-12-111-108	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 37 (Eyeglasses)
MCR-12-112-109	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 38 (Hearing Aids)
MCR-12-113-110	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 39 (Diagnostic services)
MCR-12-114-112	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 40 (Screening services)
MCR-12-115-113	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 41 (Preventive services)
MCR-12-116-114	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
MCR-12-117-115	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 43 (Rehabilitative services)
MCR-12-118-116	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 49 (Outpatient mental health services)
MCR-12-119-118	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-12-120-119	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 51 (Personal care services)
MCR-12-121-120	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 52 (Primary care case management services)
MCR-12-122-121	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 53 (Targeted case management services )
MCR-12-123-122	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
MCR-12-124-123	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 55 (Care coordination services)
MCR-12-125-124	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 56 (Transportation services)
MCR-12-126-125	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 57 (Enabling services)
MCR-12-127-127	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
MCR-12-128-128	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 62 (HCBS - Case management services)
MCR-12-129-129	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
MCR-12-130-130	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
MCR-12-131-131	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
MCR-12-132-132	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
MCR-12-133-133	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
MCR-12-134-134	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
MCR-12-135-135	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services)
MCR-12-136-137	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 70 (HCBS - Day Care)
MCR-12-137-138	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
MCR-12-138-139	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
MCR-12-139-140	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
MCR-12-140-141	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
MCR-12-141-142	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
MCR-12-142-143	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
MCR-12-143-144	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
MCR-12-144-145	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
MCR-12-145-146	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
MCR-12-146-148	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
MCR-12-147-149	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
MCR-12-148-150	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
MCR-12-149-151	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
MCR-12-150-152	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
MCR-12-151-153	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 87 (Hospice services)
MCR-12-152-154	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
MCR-12-153-155	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
MCR-12-154-81	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 115 (Residential care)
MCR-12-155-83	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
MCR-14-005-20	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 41, 14 with DX Codes
MCR-14-006-22	% of records with TYPE-OF-SERVICE = 12, 2, 61, 28, 48 with DX Codes
MCR-14-011-4	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have CPT (01) Procedure Code Flag and Procedure Code format 5n/4n1c
MCR-14-013-12	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 4n
MCR-14-014-11	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format A-V + 1c3n
MCR-14-015-15	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 4n
MCR-14-016-14	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and Procedure Code format W-Z + 1c3n
MCR-14-017-13	% of records with TYPE-OF-SERVICE = 12, 25, 26 that have HCPCS (06) Procedure Code Flag and other Procedure Code format
MCR-16-002-14	% of records with TYPE-OF-SERVICE = 2 (Outpatient hospital services)
MCR-16-003-25	% of records with TYPE-OF-SERVICE = 3 (Rural health clinic services)
MCR-16-004-34	% of records with TYPE-OF-SERVICE = 4 (Other ambulatory services furnished by a rural health clinic)
MCR-16-005-40	% of records with TYPE-OF-SERVICE = 5 (Professional laboratory services)
MCR-16-006-49	% of records with TYPE-OF-SERVICE = 6 (Technical laboratory services)
MCR-16-007-59	% of records with TYPE-OF-SERVICE = 7 (Professional radiological services)
MCR-16-008-70	% of records with TYPE-OF-SERVICE = 8 (Technical radiological services)
MCR-16-009-2	% of records with TYPE-OF-SERVICE = 10 (Early and periodic screening and diagnosis and treatment (EPSDT) services)
MCR-16-010-3	% of records with TYPE-OF-SERVICE = 11 (Family planning services and supplies for individuals of child-bearing age)
MCR-16-011-5	% of records with TYPE-OF-SERVICE = 12 (Physicians' services)
MCR-16-012-7	% of records with TYPE-OF-SERVICE = 13 (Medical and surgical services of a dentist)
MCR-16-013-8	% of records with TYPE-OF-SERVICE = 14 (Outpatient substance abuse treatment services.)
MCR-16-014-9	% of records with TYPE-OF-SERVICE = 15 (Medical or other remedial care or services, other than physicians' services)
MCR-16-015-10	% of records with TYPE-OF-SERVICE = 16 (Home health services - Nursing services)
MCR-16-016-11	% of records with TYPE-OF-SERVICE = 17 (Home health services - Home health aide services)
MCR-16-017-12	% of records with TYPE-OF-SERVICE = 18 (Home health services - Medical supplies, equipment, and appliances suitable for use in the home)
MCR-16-018-13	% of records with TYPE-OF-SERVICE = 19 (Home health services - Physical therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-16-019-15	% of records with TYPE-OF-SERVICE = 20 (Home health services - Occupational therapy provided by a home health agency or by a facility licensed by the State to provide medical rehabilitation services)
MCR-16-020-16	% of records with TYPE-OF-SERVICE = 21 (Home health services - Speech pathology and audiology services)
MCR-16-021-17	% of records with TYPE-OF-SERVICE = 22 (Private duty nursing services)
MCR-16-022-18	% of records with TYPE-OF-SERVICE = 23 (Advanced practice nurse services)
MCR-16-023-19	% of records with TYPE-OF-SERVICE = 24 (Pediatric nurse)
MCR-16-024-20	% of records with TYPE-OF-SERVICE = 25 (Nurse-midwife service)
MCR-16-025-21	% of records with TYPE-OF-SERVICE = 26 (Nurse practitioner services)
MCR-16-026-22	% of records with TYPE-OF-SERVICE = 27 (Respiratory care for ventilator-dependent individuals)
MCR-16-027-23	% of records with TYPE-OF-SERVICE = 28 (Clinic services)
MCR-16-028-24	% of records with TYPE-OF-SERVICE = 29 (Dental services)
MCR-16-029-26	% of records with TYPE-OF-SERVICE = 30 (Physical therapy services (when not provided under home health services))
MCR-16-030-27	% of records with TYPE-OF-SERVICE = 31 (Occupational therapy services (when not provided under home health services))
MCR-16-031-28	% of records with TYPE-OF-SERVICE = 32 (Speech, hearing, and language disorders services (when not provided under home health services))
MCR-16-032-29	% of records with TYPE-OF-SERVICE = 35 (Dentures)
MCR-16-033-30	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
MCR-16-034-31	% of records with TYPE-OF-SERVICE = 37 (Eyeglasses)
MCR-16-035-32	% of records with TYPE-OF-SERVICE = 38 (Hearing Aids)
MCR-16-036-33	% of records with TYPE-OF-SERVICE = 39 (Diagnostic services)
MCR-16-037-35	% of records with TYPE-OF-SERVICE = 40 (Screening services)
MCR-16-038-36	% of records with TYPE-OF-SERVICE = 41 (Preventive services)
MCR-16-039-37	% of records with TYPE-OF-SERVICE = 42 (Well-baby and well-child care services as defined by the State.)
MCR-16-040-38	% of records with TYPE-OF-SERVICE = 43 (Rehabilitative services)
MCR-16-041-39	% of records with TYPE-OF-SERVICE = 49 (Outpatient mental health services, other than substance abuse treatment services)
MCR-16-042-41	% of records with TYPE-OF-SERVICE = 50 (Inpatient substance abuse treatment services and residential substance abuse treatment services.)
MCR-16-043-42	% of records with TYPE-OF-SERVICE = 51 (Personal care services)
MCR-16-044-43	% of records with TYPE-OF-SERVICE = 52 (Primary care case management services)
MCR-16-045-44	% of records with TYPE-OF-SERVICE = 53 (Targeted case management services )
MCR-16-046-45	% of records with TYPE-OF-SERVICE = 54 (Case Management services other than those that meet the definition of primary care case management services or targeted case management services)
MCR-16-047-46	% of records with TYPE-OF-SERVICE = 55 (Care coordination services)
MCR-16-048-47	% of records with TYPE-OF-SERVICE = 56 (Transportation services)
MCR-16-049-48	% of records with TYPE-OF-SERVICE = 57 (Enabling services)
MCR-16-050-50	% of records with TYPE-OF-SERVICE = 61 (Critical access hospital services - OT)
MCR-16-051-51	% of records with TYPE-OF-SERVICE = 62 (HCBS - Case management services)
MCR-16-052-52	% of records with TYPE-OF-SERVICE = 63 (HCBS - Homemaker services)
MCR-16-053-53	% of records with TYPE-OF-SERVICE = 64 (HCBS - Home health aide services)
MCR-16-054-54	% of records with TYPE-OF-SERVICE = 65 (HCBS - Personal care services)
MCR-16-055-55	% of records with TYPE-OF-SERVICE = 66 (HCBS - Adult day health services)
MCR-16-056-56	% of records with TYPE-OF-SERVICE = 67 (HCBS - Habilitation services)
MCR-16-057-57	% of records with TYPE-OF-SERVICE = 68 (HCBS - Respite care services)
MCR-16-058-58	% of records with TYPE-OF-SERVICE = 69 (HCBS - Day treatment or other partial hospitalization services, psychosocial rehabilitation services and clinic services (whether or not furnished in a facility) for individuals with chronic mental illness)
MCR-16-059-60	% of records with TYPE-OF-SERVICE = 70 (HCBS - Day Care)
MCR-16-060-61	% of records with TYPE-OF-SERVICE = 71 (HCBS - Training for family members)
MCR-16-061-62	% of records with TYPE-OF-SERVICE = 72 (HCBS - Minor modification to the home)
MCR-16-062-63	% of records with TYPE-OF-SERVICE = 73 (HCBS - Other services requested by the agency and approved by CMS as cost effective and necessary to avoid institutionalization)
MCR-16-063-64	% of records with TYPE-OF-SERVICE = 74 (HCBS - Expanded habilitation services - Prevocational services)
MCR-16-064-65	% of records with TYPE-OF-SERVICE = 75 (HCBS - Expanded habilitation services - Educational services)
MCR-16-065-66	% of records with TYPE-OF-SERVICE = 76 (HCBS - Expanded habilitation services - Supported employment services, which facilitate paid employment)
MCR-16-066-67	% of records with TYPE-OF-SERVICE = 77 (HCBS-65-plus - Case management services)
MCR-16-067-68	% of records with TYPE-OF-SERVICE = 78 (HCBS-65-plus - Homemaker services)
MCR-16-068-69	% of records with TYPE-OF-SERVICE = 79 (HCBS-65-plus - Home health aide services)
MCR-16-069-71	% of records with TYPE-OF-SERVICE = 80 (HCBS-65-plus - Personal care services)
MCR-16-070-72	% of records with TYPE-OF-SERVICE = 81 (HCBS-65-plus - Adult day health services)
MCR-16-071-73	% of records with TYPE-OF-SERVICE = 82 (HCBS-65-plus - Respite care services)
MCR-16-072-74	% of records with TYPE-OF-SERVICE = 83 (HCBS-65-plus - Other medical and social services)
MCR-16-073-75	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
MCR-16-074-76	% of records with TYPE-OF-SERVICE = 87 (Hospice services)
MCR-16-075-77	% of records with TYPE-OF-SERVICE = 88 (Any other health care services or items specified by the Secretary and not excluded under regulations.)
MCR-16-076-78	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
MCR-16-077-4	% of records with TYPE-OF-SERVICE = 115 (Residential care)
MCR-16-078-6	% of records with TYPE-OF-SERVICE = 127 (Indian Health Service (IHS) - Family Plan)
MCR-20-005-6	% of records with TYPE-OF-SERVICE = 36 (Medical equipment/prosthetic devices)
MCR-20-006-7	% of records with TYPE-OF-SERVICE = 85 (Prenatal care and pre-pregnancy family planning services and supplies.)
MCR-20-007-8	% of records with TYPE-OF-SERVICE = 89 (Disposable medical supplies.)
MCR-2-024-15	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 132 (Supplemental payment - inpatient)
MCR-2-025-16	Ratio of Average FFS Equivalent to Average Paid for TYPE-OF-SERVICE = 135 (EHR payments to provider)
MCR-55-004-4	Health home capitation ratio
MCR-13-018-20	% of PHP (TYPE-OF-SERVICE ) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation PHP plan
MCR-9-018-20	% of PHP (TYPE-OF-SERVICE ) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation PHP plan
MCR-13-019-21	% of Comprehensive MCO (TYPE-OF-SERVICE) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation Comprehensive MCO plan
MCR-9-019-21	% of Comprehensive MCO (TYPE-OF-SERVICE) capitation payments with a non-missing plan ID that do not have a corresponding managed care participation Comprehensive MCO plan
RULE-7895	% missing: TYPE-OF-SERVICE (COT00003)
RULE-7739	% missing: TYPE-OF-SERVICE (COT00003)
ALL-16-011-11	% of claim lines with TYPE-OF-SERVICE= “025” or “085” (OT) linked to an MSIS ID where SEX = “M”

DE Number	System DE Number	DE Name	File Segment Number	File Segment Name
CIP257	CIP.003.257	TYPE-OF-SERVICE	CIP00003	CLAIM-LINE-RECORD-IP
CLT211	CLT.003.211	TYPE-OF-SERVICE	CLT00003	CLAIM-LINE-RECORD-LT
CRX134	CRX.003.134	TYPE-OF-SERVICE	CRX00003	CLAIM-LINE-RECORD-RX

Published Date	Data Guide Version	Data Element	Action	Field	Before	After
09/07/2023	3.12.0	COT.003.186	UPDATE	Definition	A code to categorize the services provided to a Medicaid or CHIP enrollee.	A code to categorize the services provided to a Medicaid or CHIP enrollee. For sub-capitation payments, report a TYPE-OF-SERVICE value 119, 120, or 122.
06/02/2023	3.8.0	COT.003.186	UPDATE	Coding requirement	1. Value must be 3 characters2. Mandatory3. When value is in [119-122], Servicing Provider NPI Num (COT.002.190) should not be populated4. Value must be in ['002', '003', '004', '005', '006', '007', '008', '010', '011', '012', '013', '014', '015', '016', '017', '018', '019', '020', '021', '022', '023', '024', '025', '026', '027', '028', '029', '030', '031', '032', '035', '036', '037', '038', '039', '040', '041', '042', '043', '049', '050', '051', '052', '053', '054', '055', '056', '057', '058', '060', '061', '062', '063', '064', '065', '066', '067', '068', '069', '070', '071', '072', '073', '074', '075', '076', '077', '078', '079', '080', '081', '082', '083', '084', '085', '086', '087', '088', '089', '115', '119', '120', '121', '122', '127', '131', '134', '135', '136', '137', '138', '139', '140', '141', '142', '143', '144', '145', '147'] when associated Claim Type is COT (Other Claim)5. When value is in [119-122], Servicing Provider Taxonomy (COT.003.191) should not be populated6. When value is in [119-122], Referring Provider NPI Num (COT.002.118) should not be populated7. Value must be 3 characters8. Mandatory9. When value is in [119-122], Billing Provider NPI Num (COT.002.113) should not be populated10. When value is in [119-122], Billing Provider Taxonomy (COT.002.114) should not be populated11. When value is in [119-122], Referring Provider Taxonomy (COT.002.119) should not be populated12. When value is not in ['025','085'], Sex (ELG.002.023) equals 'M'13. When value is in [119-122], Servicing Provider Num (COT.002.189) should not be populated	1. Value must be 3 characters2. Mandatory3. When value is in [119-122], Servicing Provider NPI Num (COT.002.190) should not be populated4. Value must be in ['002', '003', '004', '005', '006', '007', '008', '010', '011', '012', '013', '014', '015', '016', '017', '018', '019', '020', '021', '022', '023', '024', '025', '026', '027', '028', '029', '030', '031', '032', '035', '036', '037', '038', '039', '040', '041', '042', '043', '049', '050', '051', '052', '053', '054', '055', '056', '057', '058', '060', '061', '062', '063', '064', '065', '066', '067', '068', '069', '070', '071', '072', '073', '074', '075', '076', '077', '078', '079', '080', '081', '082', '083', '084', '085', '086', '087', '088', '089', '115', '119', '120', '121', '122', '127', '131', '134', '135', '136', '137', '138', '139', '140', '141', '142', '143', '144', '145', '147']5. When value is in [119-122], Servicing Provider Taxonomy (COT.003.191) should not be populated6. When value is in [119-122], Referring Provider NPI Num (COT.002.118) should not be populated7. Value must be 3 characters8. Mandatory9. When value is in [119-122], Billing Provider NPI Num (COT.002.113) should not be populated10. When value is in [119-122], Billing Provider Taxonomy (COT.002.114) should not be populated11. When value is in [119-122], Referring Provider Taxonomy (COT.002.119) should not be populated12. When value is not in ['025','085'], Sex (ELG.002.023) equals 'M'13. When value is in [119-122], Servicing Provider Num (COT.002.189) should not be populated
05/31/2023	3.8.0	COT.003.186	UPDATE	Coding requirement	1. Value must be 3 characters2. Mandatory3. When value is in [119-122], Servicing Provider NPI Num (COT.002.190) should not be populated4. Value must satisfy the requirements of Type of Service (Other Claim) List (VVL)5. When value is in [119-122], Servicing Provider Taxonomy (COT.003.191) should not be populated6. When value is in [119-122], Referring Provider NPI Num (COT.002.118) should not be populated7. Value must be 3 characters8. Mandatory9. When value is in [119-122], Billing Provider NPI Num (COT.002.113) should not be populated10. When value is in [119-122], Billing Provider Taxonomy (COT.002.114) should not be populated11. When value is in [119-122], Referring Provider Taxonomy (COT.002.119) should not be populated12. When value is not in ['025','085'], Sex (ELG.002.023) equals 'M'13. When value is in [119-122], Servicing Provider Num (COT.002.189) should not be populated	1. Value must be 3 characters2. Mandatory3. When value is in [119-122], Servicing Provider NPI Num (COT.002.190) should not be populated4. Value must be in ['002', '003', '004', '005', '006', '007', '008', '010', '011', '012', '013', '014', '015', '016', '017', '018', '019', '020', '021', '022', '023', '024', '025', '026', '027', '028', '029', '030', '031', '032', '035', '036', '037', '038', '039', '040', '041', '042', '043', '049', '050', '051', '052', '053', '054', '055', '056', '057', '058', '060', '061', '062', '063', '064', '065', '066', '067', '068', '069', '070', '071', '072', '073', '074', '075', '076', '077', '078', '079', '080', '081', '082', '083', '084', '085', '086', '087', '088', '089', '115', '119', '120', '121', '122', '127', '131', '134', '135', '136', '137', '138', '139', '140', '141', '142', '143', '144', '145', '147'] when associated Claim Type is COT (Other Claim)5. When value is in [119-122], Servicing Provider Taxonomy (COT.003.191) should not be populated6. When value is in [119-122], Referring Provider NPI Num (COT.002.118) should not be populated7. Value must be 3 characters8. Mandatory9. When value is in [119-122], Billing Provider NPI Num (COT.002.113) should not be populated10. When value is in [119-122], Billing Provider Taxonomy (COT.002.114) should not be populated11. When value is in [119-122], Referring Provider Taxonomy (COT.002.119) should not be populated12. When value is not in ['025','085'], Sex (ELG.002.023) equals 'M'13. When value is in [119-122], Servicing Provider Num (COT.002.189) should not be populated
09/08/2023	3.12.0	CIP257, CLT211, COT186, CRX134	UPDATE	Data Dictionary - Valid Values	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION TYPE-OF-SERVICE\|00010101\|99991231\|005\|Professional laboratory services, Technical laboratory services\|	VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION TYPE-OF-SERVICE\|00010101\|99991231\|005\|Professional laboratory services\|
04/17/2020	2.4.0	TYPE-OF-SERVICE CIP257, CLT211, COT186, CRX134	ADD	Data Dictionary - Valid Values	N/A	Data Element Name\| DE ID\| Code\| Description\| Effective Date\| End Date\| TYPE-OF-SERVICE\| CIP257, CLT211, COT186, CRX134 \| 136\| In vitro diagnostic products (as defined in section 809.3(a) of title 21, Code of Federal Regulations) administered during any portion of the emergency period defined in paragraph (1)(B) of section 1135(g) beginning on or after the date of the enactment of this subparagraph for the detection of SARS–CoV–2 or the diagnosis of the virus that causes COVID–19, and the administration of such in vitro diagnostic products\| 3/18/2020\| 12/31/9999\| TYPE-OF-SERVICE\| CIP257, CLT211, COT186, CRX134 \| 137\| COVID–19 testing-related services\|3/18/2020\| 12/31/9 999\|
12/04/2020	2.4.0	TYPE-OF-SERVICE	ADD	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\| 20201001\|99991231\|145\|Medication Assisted Treatment (MAT) services and drugs for evidenced-based treatment of Opioid Use Disorder (OUD) in accordance with section 1905(a)(29) of the Social Security Act\|Effective October 1, 2020, state Medicaid programs are required to provide coverage of Medication Assisted Treatment (MAT) services and drugs under a new mandatory benefit. The SUPPORT Act of 2018 (P.L. 115-271) amended the Social Security Act (the Act) to add this new mandatory benefit. The purpose of the new mandatory MAT benefit found at section 1905(a)(29) of the Act is to increase access to evidenced-based treatment for Opioid Use Disorder (OUD) for all Medicaid beneficiaries and to allow patients to seek the best course of treatment and particular medications that may not have been previously covered. CMS interprets sections 1905(a)(29) and 1905(ee) of the Act to require that, as of October 1, 2020, states must include as part of the new MAT mandatory benefit all forms of drugs and biologicals that the Food and Drug Administration (FDA) has approved or licensed for MAT to treat OUD. More specifically, under the new mandatory MAT benefit, states are required to cover such FDA approved or licensed drugs and biologicals used for indications for MAT to treat OUD. States currently cover many of these MAT drugs and biologicals (for all medically-accepted indications) under the optional benefit for prescribed drugs described at section 1905(a)(12) of the Act.\| TYPE-OF-SERVICE value ‘145’ is applicable to the T-MSIS OT and RX files. Section 1905(a)(29) of the Social Security Act stipulates that the benefit applies to the period of October 1, 2020 through September 30, 2025, however states may continue to adjudicate and submit claims to T-MSIS for this type of service beyond September 30, 2025 for dates of service prior to September 30, 2025. This value may be end-dated at some point in the future after it is clear that there will be no more claims submitted to T-MSIS with it. State T-MSIS team members are encouraged to reach out to their state policy experts to determine how this type of service has been incorporated into the state’s Medicaid program.
03/19/2021	3.0.0	TYPE-OF-SERVICE	UPDATE	Data Dictionary - Valid Values	N/A	\|Data Element\|Effective Date\|End Date\|Value\|Name\| \|TYPE-OF-SERVICE\|00010101\|99991231\|146\|Inpatient Psychiatric Services for beneficiaries between the ages of 22 and 64 who receive services in an institution for mental disease (IMD)\|
08/13/2021	3.0.0	TYPE-OF-SERVICE (	ADD	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\|00010101\|99991231\|147\|Residential Pediatric Recovery Center (RPRC): A center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.\|
09/03/2021	3.0.0	TYPE-OF-SERVICE	UPDATE	Data Dictionary - Valid Values	N/A	\|VALUE_SET_ID\|EFFECTIVE_DATE\|END_DATE\|VALUE\|NAME\|DESCRIPTION\| \|TYPE-OF-SERVICE\|00010101\|99991231\|147\|Residential Pediatric Recovery Center (RPRC): A center or facility that furnishes items and services for which medical assistance is available under the State plan to infants with the diagnosis of neonatal abstinence syndrome without any other significant medical risk factors.\|
07/15/2022	3.0.1	COT186	UPDATE	Data Dictionary	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT186\|TYPE-OF-SERVICE\|A code to categorize the services provided to a Medicaid or CHIP enrollee.	DE NO\| DATA ELEMENT NAME COMPUTING\|DEFINITION COT186\|TYPE-OF-SERVICE\|A code to categorize the services provided to a Medicaid or CHIP enrollee. For sub-capitation payments, report a TYPE-OF-SERVICE value 119, 120, or 122.
06/19/2020	2.4.0	TYPE-OF-SERVICE (COT186)	ADD	Data Dictionary - Valid Values	N/A	\|Data Element\|Code\|Description\|Effective Date\|End Date\| \|TYPE-OF-SERVICE\|138\|Per member per month (PMPM) payments for health home services\|01/01/0001\|12/31/9999\| \|TYPE-OF-SERVICE\|139\|Per member per month (PMPM) payments for Medicare Part A premiums\|01/01/0001\|12/31/9999 \|TYPE-OF-SERVICE\|140\|Per member per month (PMPM) payments for Medicare Part B premiums\|01/01/0001\|12/31/9999\| \|TYPE-OF-SERVICE\|141\|Per member per month (PMPM) payments for Medicare Advantage Dual Special Needs Plans (D-SNP) – Medicare Part C.\|01/01/0001\|12/31/9999\| \|TYPE-OF-SERVICE\|142\|Per member per month (PMPM) payments for Medicare Part D premiums\|01/01/0001\|12/31/9999\| \|TYPE-OF-SERVICE\|143\|Per member per month (PMPM) payments for other payments\|01/01/0001\|12/31/9999\| \|TYPE-OF-SERVICE\|144\|Payments to individuals for personal assistance services under 1915(j)\|01/01/0001\|12/31/9999\|