| Parent File | Name | Number | Package | 
|---|---|---|---|
| CHS NON-PROCESSED EOBRS(#9002065) | CPT PROCEDURES | 9002065.037 | Contract Health Management Information System | 
| Field # | Name | Loc | Type | Details | 
|---|---|---|---|---|
| .01 | CPT PROCEDURES | 0;1 | NUMBER | 
 | 
| 1 | FROM DATE OF SERVICE | 0;2 | DATE | 
 | 
| 2 | TO DATE OF SERVICE | 0;3 | DATE | 
 | 
| 3 | UNITS BILLED | 0;4 | NUMBER | 
 | 
| 4 | BILLED CHARGES | 0;5 | NUMBER | 
 | 
| 5 | ALLOWABLE CHARGES | 0;6 | NUMBER | 
 | 
| 6 | MESSAGE | 0;7 | FREE TEXT | 
 | 
| 7 | TOOTH NUMBER | 0;8 | NUMBER | 
 | 
| 8 | TOOTH SURFACE | 0;9 | FREE TEXT | 
 |