Posts tagged: 99214

medicare reiumbursement for 99214

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By , June 2, 2017 6:47 pm


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medicare reiumbursement for 99214

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Prolonged Services (Codes 99354 – 99359) – Centers for Medicare …

Jul 12, 2013 … Reporting of Medicare legacy identifiers in any primary or secondary …. 99214.
25. 55. 100. 99215. 40. 70. 115. 99241. 15. 45. 90. 99242. 30.

Telehealth Services – Centers for Medicare & Medicaid Services

calendar year (CY) 2016 Medicare telehealth services: ❖Originating sites; … An
originating site is the location of an eligible Medicare beneficiary at the time the …

How to Use the Searchable Medicare Physician Fee Schedule …

The Centers for Medicare & Medicaid Services (CMS) Physician. Fee Schedule
….. HCPCS CODE – 99214 and 99215 are each displayed on a separate row …

2014 Office Visit Reimbursement Rates and Additional Notes Office …

moderately complex medical decision. 99214. $80.58. $110.27. $83.33 … Office
Visit Rates and Additional Notes Section CY 2014 Medicare and Medicaid …

health services associates, inc – FTP Directory Listing

Medicare reimbursement is on a reasonable cost basis as determined by … ▫
99211. $68.65. ▫99212. $68.65. ▫99213. $68.65 most common. ▫99214. $68.65
.

Medicare Rates and CPT Codes – Colorado.gov

Jan 1, 2016 … 99214. Established Patient; detailed history, exam, moderately complex decision-
making; 25 minutes … Medicare Rates and CPT Codes – Updated January 2016
… Reimbursement for treatment services is not allowed.

Outpatient Hospital Prospective Payment Billing Manual – PEIA

have been modified to reflect PEIA general guidelines for reimbursement under
OPPS. ….. PEIA is following a modified version of Medicare's OPPS
reimbursement methodology. ….. 99204,99205,99211,99212,99213,99214,
99215,99241,.

billing resource manual – Georgia Department of Community Health

Definitions, and other resources used in mastering the reimbursement process. …
Note: Medicaid, PCK, CMOs, and Medicare are accepted for other services, i.e. …

The following selected questions were posted by participants of an …

Apr 25, 2011 … Check with your Medicare and Medicaid regulatory reimbursement … "Q: But the
Medicare quotes would be the same? … 99211-99214?

New Hampshire Medicaid Provider Reimbursement Rate …

Oct 1, 2010 … NH DHHS, OMBP, BDSM – NH Medicaid Provider Reimbursement Rate …
Medicare, instead of using the prospectively set rates, pays 101 …

2016 Reimbursement Schedule – Iowa Department of Public Health

Established Patient Visit, comprehensive high complexity – paid at 99214 rate. 3,
4. 101.09 … IMPORTANT INFORMATION REGARDING REIMBURSEMENT BY
THE CARE FOR YOURSELF PROGRAM. 2. ….. published by Medicare. 9938X …

SBIRT Billing Manual – Wisconsin Department of Health Services

Jan 1, 2010 … Chapter 4 Medicare Billing & Reimbursement. 4.0 General … 7.2.3 May I Charge
Medicare and Medicaid patient for No-show …… screening would be reported
with CPT 99214 and CPT 99408 by the credentialed provider.

Division of Workers' Compensation Letter – Texas Department of …

Mar 16, 2015 … Respondent's Position Summary: “Under OPPS, Medicare … in pertinent part, “
For coding, billing, reporting, and reimbursement of … The carrier's denial is
supported as the codes submitted (99213 and 99214) have a Status …

Reimbursement Schedule for Womens Cancer Screening

Reimbursement Schedule July 1, 2016 – December 31, 2017. 1. Office Visits –
Established Patients … 99214 / 99215. $ 88.91. Office Visits – New Patients.

copy of TJD Medical indictment – US Department of Justice

Jul 10, 2010 … The Centers for Medicare and Medicaid Services … whereby they are allowed to
submit Medicare claims for reimbursement electronically rather than …. other and
others, submitted a bill to Medicaid for CPT Codes 99214 and.

Physician Payment Rates in Alaska and Comparison States

Nov 29, 2011 … of the average Medicare reimbursement in the five comparison states. Across all
payers, Alaska relative reimbursement is 160% of the …

July 2014 Medicaid Update – New York State Department of Health

Jul 1, 2014 … EPIC provides secondary prescription coverage for Medicare Part D …. under
FPBP and FPEP, Medicaid reimbursement was only available when the …. 99212
. 99214. 99241. 99243. 99245. 99395. Policy & Billing Guidance …

Kansas LHD Clinical Services Coding Resource Guide

Definitions, and other resources used in mastering the reimbursement process. …
Note: MediKan and Medicare are accepted for other services, i.e., Maternal and
…… 99213. Established Patient: Detailed. 99214. Development/Audiology/Vision
 …

HUSKY Health Primary Care Increased Payments Policy

Nov 30, 2014 … equal the 2013 and 2014 Medicare fee for certain primary care codes when
billed by an … Please refer to PB 2014-60 “Reimbursement for. Practitioner
Services …. 99214 OFFICE/OUTPATIENT VISIT EST. $116.60. $84.40. 15.

What's covered – CPT Code List – North Dakota Department of Health

Jan 1, 2016 … Women's Way CPT Code Medicare Part B Rate List. Effective … Reimbursement
for treatment services is not allowed. … 99214. 106.60. Established patient;
comprehensive history exam, high complex decision making; 40.

medicare reimbursement rate for code 99214

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By , June 2, 2017 7:38 am


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AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)


medicare reimbursement rate for code 99214

PDF download:

How to Use the Searchable Medicare Physician Fee Schedule …

Print out the “Medicare Physician Fee Schedule (MPFS). Quick Reference ….
HCPCS CODE – 99214 and 99215 are each displayed on a separate row with
the …

2014 Office Visit Reimbursement Rates and Additional Notes Office …

moderately complex medical decision. 99214. $80.58. $110.27. $83.33 … Office
Visit Rates and Additional Notes Section CY 2014 Medicare and Medicaid … [
Time Units (minutes) + (Base Units x 15)] x Fee for the CPT code x Modifier
Percent] …

Improper Payments for Evaluation and Management Services Cost …

Claims for E/M services billed for by high-coding physicians were more likely to
be …. Payment rates for E/M services are set forth by the Medicare physician fee
schedule. Section 1848(a)(1) of ….. record supported a higher level code (99214)
.

health services associates, inc – FTP Directory Listing

Bill Professional component to FI under revenue code 521. Bill Technical …
Training Services. Not reimbursed by Medicare at this time for services rendered
by RHC. … payments are based on an interim rate that is based on historical … ▫
99211. $68.65. ▫99212. $68.65. ▫99213. $68.65 most common. ▫99214. $68.65
.

Allowable Codes and Reimbursement Rates – Healthy Ohio – Ohio.gov

Jan 13, 2016 … 99214 when performed at a facility (Physician Rate). $77.31 … 2 2016 Ohio
BCCP Allowable Procedure and Relevant CPT® Codes – State and Federal
Funds ….. The carrier-specific Medicare anesthesia conversion rates are …

Outpatient Hospital Prospective Payment Billing Manual – PEIA

This PEIA Outpatient Hospital Prospective Payment Billing Manual is a modified
….. The cap for the conversion factor of $70.70 represents 111% of Medicare's
reimbursement rates. …. Service units for hospital outpatient services, where
HCPCS codes are required, …. 99204,99205,99211,99212,99213,99214,99215,
99241,.

billing resource manual – Georgia Department of Community Health

Part II-The Billing & Coding: Methodologies & Rates section emphasizes the …
disclosure of reimbursement rates to any parties other than county Boards of
Health … Note: Medicaid, PCK, CMOs, and Medicare are accepted for other
services, …

NH Medicaid Rate Benchmarking Report

Aug 4, 1997 … New Hampshire Medicaid Provider Reimbursement Rate ….. HCPCS Level II is a
set of codes developed by Medicare to describe products,.

2016 Reimbursement Schedule – Iowa Department of Public Health

Established Patient Visit, comprehensive high complexity – paid at 99214 …
Established Patient Visit (18 – 39 y.o.) – paid at 99213 rate. 2 … If Pap test is
performed, the collection of the Pap (CPT codes 99000, Q0091 ….. published by
Medicare.

Provider Type 14 Billing Guide

Reimbursement rates are listed online at http://dhcfp.nv.gov on the Rates Unit …
As of October 13, 2011, CPT codes 99406 and 99407 are used to bill ….
Medicare and Medicaid, submit the claim to Medicaid indicating Medicare
coverage. …. 99214. Office or other outpatient visit for the evaluation and
management of an …

Initial Statement of Reasons – California Department of Industrial …

fix(es) rates, prices, or tariffs" within the meaning of Government Code ….
aggregate fee prescribed in the Medicare physician fee schedule as it appeared
on.

471-000-532 – Nebraska Department of Health and Human Services

Jul 1, 2016 … CPT® is a listing of descriptive terms and numeric identifying codes and
modifiers for … Use is limited to use in Medicare, Medicaid, … Maximum
allowable fees are the exclusive property of the Nebraska Department of Health
….. 99214. Established patient. Evaluation/Management – office or outpatient visit.

Service Certification and Reimbursement Manual – Delaware Health …

Dec 19, 2014 … The Manual, including but not limited to reimbursement rates, is subject to …..
Where Medicare fees do not exist for a covered code, the fee ….. 99214. Office or
other outpatient visit for the. E&M of an established patient,.

SBIRT Billing Manual – Wisconsin Department of Health Services

Jan 1, 2010 … Chapter 4 Medicare Billing & Reimbursement. 4.0 General. 4.1 Coding … 5.5
Coding, Billing and Documentation Requirements … a result of the Medicaid and
BadgerCare Plus Rate Reform Project and the 2009-2011 …… screening would
be reported with CPT 99214 and CPT 99408 by the credentialed.

SPA 16-003-HIPAA Billing Code and Reimbursement … – CT.gov

Jan 1, 2016 … Medicaid State Plan Amendment (SPA) to the Centers for Medicare & Medicaid …
fee schedule based on the applicable physician reimbursement … 99201, 99202,
99203, 99204, 99205, 99211, 99212, 99213, 99214,. 99215 …

Kansas LHD Clinical Services Coding Resource Guide

understanding the insurance coding and billing process. … disclosure of
reimbursement rates to any parties other than county Boards of Health and …
Note: MediKan and Medicare are accepted for other services, i.e., Maternal and
…… 99213. Established Patient: Detailed. 99214. Development/Audiology/Vision
Screenings.

2005 Health Care Services Rules – State of Michigan

(b) Establish schedules of maximum fees by a health facility or health care …. (a)
All ancillary services listed in “Medicare's National Level II CODES HCPCS”, ……
A psychiatric consultation may be reported with procedure codes 99214-.

2016-35 – ForwardHealth Portal

1, 2016, ForwardHealth will separately reimburse evaluation and management (
E&M) … ForwardHealth will adjust rates for … complexity. While procedure codes
99203 and 99214 are … Medicare and Medicaid Services (CMS) 1995 and 1997.

Reimbursement Schedule for Womens Cancer Screening

… Screening Program. Provider Reimbursement Rates. Reimbursement
Schedule July 1, 2016 – December 31, 2017. 1 … 99214 / 99215. $ 88.91. Office
Visits …

WHC CPT Codes – Idaho Department of Health and

Effective: 1/1/2016. CPT. Codes. Description. Rates. Tech (TC). Prof (26) ….
IDAHO WOMEN'S HEALTH CHECK REIMBURSEMENT RATES 2016 … 99214.
Established Patient; detailed history, exam, moderately complex decision-making
; 25 … Medicare's methodology for the payment of anesthesia services are
outlined in …

allowable charge for a 99214

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By , April 8, 2017 10:26 am


AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)


allowable charge for a 99214

PDF download:

How to Use the Searchable Medicare Physician Fee Schedule …

Fee Schedule Search Tool provides Medicare payment ….. component, this field
will be blank with one exception: when CPT modifier -53 is allowed, it … 8
FACILITY LIMITING CHARGE – $83.23 is shown for 99214 and $117.77 for
99215.

CMS Manual System – Centers for Medicare & Medicaid Services

I. SUMMARY OF CHANGES: In the Calendar Year (CY) 2010 Physician Fee
Schedule (PFS) final rule ….. The global surgical fee includes payment for
hospital observation (codes 99217, 99218, 99219,. 99220, 99224 ….. prolonged
services codes that are allowable. …. The physician cannot code 99214, which
has a typical.

2014 Office Visit Reimbursement Rates and Additional Notes Office …

moderately complex medical decision. 99214. $80.58. $110.27. $83.33 …. The
laboratory fees and the dental reimbursement amounts are also listed on this site.

Adopted Regulation 114.3 CMR 40.00 – Mass.Gov

other costs of doing business, are included in the rates set forth in this fee
schedule, ….. 100% of the allowable fee specified in 114.3 CMR 40.05(2)(c) for
CRNA …… typically spend 15 minutes face-to-face with the patient and/or family.
99214.

Medicare Rates and CPT Codes – Colorado.gov

Jan 1, 2016 … 99214. Established Patient; detailed history, exam, moderately complex … Listed
below are allowable procedures and the corresponding CPT codes for …
Medicaid website, https://www.cms.gov/apps/physician-fee-schedule/.

Allowable Codes and Reimbursement Rates – Healthy Ohio – Ohio.gov

Jan 13, 2016 … 1 2016 Ohio BCCP Allowable Procedure and Relevant CPT® Codes – State and
Federal Funds … 99214 when performed at a facility (Physician Rate) …..
Allowable charges include surgical supplies and pharmacy supplies.

billing resource manual – Georgia Department of Community Health

of the clinical components of CPT coding to ensure 3rd party payers are charged
at the appropriate level of service delivery and reimbursement. The Appendices …

Coding Trends of Medicare Evaluation and Management Services …

80 percent of allowed charges, and the beneficiary is responsible for the
remaining 20 ….. billing of the two highest level E/M codes (99214 and 99215) by.

Implementing a RB-RVS Fee Schedule for Physician Services

establish maximum allowable fees for physician and other practitioner …… Table
6.6 Comparison of Allowances for CPT 99214 under Current OMFS and …

Nevada Medical Fee Schedule – Division of Industrial Relations (DIR)

NEVADA MEDICAL FEE SCHEDULE. MAXIMUM ALLOWABLE PROVIDER
PAYMENT. February 1, 2016 through January 31, 2017. Pursuant to NRS 616C.
260 …

471-000-532 – Nebraska Department of Health and Human Services

Jul 1, 2016 … system uses seven decimal places in the reimbursement calculation, but …
Maximum allowable fees are the exclusive property of the Nebraska ….. 99214.
Established patient. Evaluation/Management – office or outpatient visit.

cpt code and description – NYC.gov

99211, 99212, 99213, 99214, 99215 Office Visit Establish Patient – Facility. 105
… Day. Rate. Facility. Pro Fees. Mental Health Intensive Outpatient. 250. 150.

Physician Primary Care Rate Increase – MO.gov

May 7, 2013 … The MO HealthNet Division's (MHD) reimbursement rates for the identified
services will … Missouri has received approval to implement the fee increases.
….. 99214. GT. EP. Medical Services Office/outpatient visit est. $54.74.

Physician Payment Rates in Alaska and Comparison States

Nov 29, 2011 … allowed amounts; a single fee schedule does not exist for commercial … Table
2.1 below shows physician relative allowed charges by state and payer. ……
99214. 4.63%. 6.34%. 130.96. 98.08. 100.41. 101.63. 99.18. 107.25.

Kentucky Medicaid Vision Program Manual – Kentucky: Cabinet for …

reimbursement from the third party groups for medical services provided prior to
… notify recipients in advance of their liability for the charges for non-medically …..
corresponding CPT code of 99214 or 99215 shall be limited to two (2).

Medicaid Update – September 2015 – New York State Department of …

Oct 1, 2015 … 99213 99214 99215 99241 99242 99243 99244 99245 99384 … available for
Medicaid reimbursement. … A new benefit year began April 1, 2015 for fee-for-
service (FFS) rehabilitation prior authorization (PA) requests.

FQHC-RHC Additional Billing Examples – ahcccs

Charge. DX Pointer. AHCCCS Payment. 99213. 25. 1. $200.00. 2,3,4. 36415. 1.
$25.00 … 99214. 1. $240.00. 4. T1015. 25. 1. $160.00. 4. Total. $860.00. $320.00
… Coinsurance. 20%. Service FQHC. Charge. POS. Units. Medicare. Allowable.

Materials – CT.gov

May 8, 2014 … 99214 Office Outpt Moderate to High Severity (25 Min). 12,562 1.1% 10,416 ….
Charged, Allowed, Paid, and Consumer Out-of-Pocket amounts.

Division of Medical Services – Arkansas Secretary of State

Mar 15, 2013 … … March 15, 2013. Please note: The Arkansas Medicaid website fee schedules
will be updated soon after …. included in the allowable fee for the 58565 "
procedure". All facility …… 99212 HA, UB; 99213 HA, UB; 99214. HA, UB.

workers' compensation supplemental medical fee schedule

Jan 1, 2014 … Fee schedules, relative value units, conversion factors and/or related …
Supplemental Medical Fee Schedule are obtained from Current Dental
Terminology …… 99214. 4.1. 99215. 5.7. Hospital Inpatient Services. 99232. 2.4 …

99214 reimbursement rate 2015 schedule

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By , April 5, 2017 8:14 pm


AARP health insurance plans (PDF download)

Medicare replacement (PDF download)

AARP MedicareRx Plans United Healthcare (PDF download)

AARP life insurance (PDF download)

medicare benefits (PDF download)

medicare part b (PDF download)


99214 reimbursement rate 2015 schedule

PDF download:

How to Use the Searchable Medicare Physician Fee Schedule …

This is the fee schedule amount when a physician provides this service in a … 8
FACILITY LIMITING CHARGE – $83.23 is shown for 99214 and $117.77 for
99215. ….. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA
) …

Medicare Rates and CPT Codes – Colorado.gov

Jan 1, 2016 … End Notes 2016 CO Rates 2016 Prof (26) 2016 Tech (TC) 2015 CO Rates …
99214. Established Patient; detailed history, exam, moderately complex …
Medicaid website, https://www.cms.gov/apps/physician-fee-schedule/.

Coding Trends of Medicare Evaluation and Management Services …

Payment rates for the Medicare physician fee schedule are updated each year
using the ….. billing of the two highest level E/M codes (99214 and 99215) by.

Provider Type 14 Billing Guide

pv12/22/2015 … Reimbursement rates are listed online at http://dhcfp.nv.gov on
the Rates Unit webpage. Rates are also available on the Provider Web Portal at
www.medicaid.nv.gov through the Search Fee Schedule function, which can be
….. 99214. Office or other outpatient visit for the evaluation and management of
an …

Adopted Regulation 114.3 CMR 40.00: RATES FOR SERVICES …

The payment rates set forth in 114.3 CMR 40.06 are full payment for services …
agree upon a different payment rate for any service set forth in the fee schedule
in …… typically spend 15 minutes face-to-face with the patient and/or family.
99214.

Reimbursement Schedule for Womens Cancer Screening

… Screening Program. Provider Reimbursement Rates. Reimbursement
Schedule July 1, 2016 – December 31, 2017. 1 … 99214 / 99215. $ 88.91. Office
Visits …

billing resource manual – Georgia Department of Community Health

disclosure of reimbursement rates to any parties other than county Boards of
Health and …. reimbursement for services listed on the Fee Schedule. Please
refer …

Provider Handbook – Denti-Cal – California

Oct 1, 2016 … Section 5 – Manual of Criteria and Schedule of Maximum Allowances … Bulletin
information released from December 2015 through October 2016 has been …..
Provider Notification of Beneficiary Request for Reimbursement .

Breast, Cervical and Colon Health Program Fee Schedule

Breast, Cervical and Colon Health Program Fee Schedule. Maximum Allowable
Reimbursement February 1, 2015 – December 31, 2015. Billing. Code. 1 … 99214
. Established patient – detailed, moderate complexity, 25 min. 115.39. $ …… be at
100% for the code with the highest reimbursement rate. Additional related …

2015 Optometrist Fee Schedule – Alabama Department of Labor

PREVAILING RATE / MAXIMUM FEE SCHEDULE. FOR OPTOMETRISTS. CPT.
2015. CPT. 2015. HCPCS. 2015. CODE. FEE. CODE. FEE. CODE … 99214.
$92.88. V2208. AWPX2. 65435. $106.11. 99215. $122.17. V2209. AWPX2.
82948.

Oregon Access Monitoring Review Plan – Draft – Oregon.gov

4.1 FFS Member Complaints: January 2015 – May 2016 . … 5.6 Specialty Service
Reimbursement Rate Comparison. ….. 99214 99291 99343 99387 99463.
Certified Nurse … Care Organizations and the updated 2016 Medicare fee
schedule.

May/June 2015 – ahcccs

The Encounter Processing Schedule for October – December 2015 and … 2 sites
–Provider type C2 with PPS rate effective 4/1/15: … Therefore, beginning January
1, 2013 AHCCCS and its Contractors, shall not reimburse …. Minutes) and 99214
(Established Patient Office Or Other Outpatient, Visit Typically 25 Minutes).

Access Monitoring Review Plan – 2016 (pdf) – Illinois.gov

is misleading. As an 80/20 plan, 20% of any reimbursement rate must also be
added before … In State fiscal year 2015, the Illinois Medicaid program provided
….. 99214 Office/outpatient visit est … Illinois Medicaid Professional Fee Schedule
.

workers' compensation supplemental medical fee schedule

Jan 1, 2014 … Fee schedules, relative value units, conversion factors and/or related …
Supplemental Medical Fee Schedule are obtained from Current Dental …

Medicaid Alert 13-09 – NYSED::Operations and Management Services

Jul 30, 2013 … In addition, a new rate code for group occupational therapy (CPT … 2015. N/A.
90812 – INDIVIDUAL PSYCHOTHERAPY, INTERACTIVE, …. Payment. Rate.
Speech. 92506 2023. EVALUATION OF SPEECH ….. 99214 2098.

Medicare FQHC PPS Rate Setting – Indian Health Service

Oct 1, 2014 … PPS Base Rate: $158.85 * GAF = your PPS rate … April 1, 2015 through
December 31, 2015. Locality. Locality … 99214. 115. $280.00. 99215. 58.
$375.00. 36415. 312. $5.00. $5.00. $5.00 … If your clinic fee schedule is low.

TBCCEDP Reimbursement Fee Schedule 2016 – HSA Intranet

Mar 1, 2016 … REIMBURSEMENT SCHEDULE FOR 2016. Effective … Preventive office visit
rates … CY2015. G 0202. Bilateral Digital Screening Mammogram (Global) …..
99214. Established Patient Office Visit (25 min). 101.42. $. 2 99386.

15-001 CMS Approved Packet – SC DHHS

Mar 31, 2015 … SC Department of Health and Human Services JUN l 8 2015. Post Office Box ….
bulletins informing the providers of the fee schedule rate changes, as well as the
fee schedule itself, are … 99214 v 99225 99241 . 99281 99306 …

Pennsylvania Access Monitoring Draft Review Plan 2016

Jun 24, 2016 … deviation of 4,776, and ranged from 18,110 in April 2015, to 3,403 in December
….. DHS compares Medicaid FFS reimbursement rates for primary care … Ratio.
Fac. 99214. Established patient office or other outpatient visit, … Source:
Medicare Physician Fee Schedule; Pennsylvania Medicaid Fee Schedule.

Increasing Hospital-Physician Consolidation Highlights Need for …

Dec 18, 2015 … the total Medicare payment rate for a mid-level E/M office visit for an …. For
Medicare spending figures, see The 2015 Annual Report of The Boards of ….
schedule facility rate and another payment to the hospital, typically at the …
99214. 107. 77. 97. 174. 67. 99215. 143. 108. 128. 236. 93. Source: GAO …



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