Let's say
dataContainer
is your container for data:
List<yourdataclass> = dataContainer.OrderByDescending(x=>x.EFF_DATE).Select((x, i)=>new{
Index = i+1,
CPT4 = x.CPT4,
CPT4MOD = x.CPT4MOD,
ITEMCHARGE = x.ITEMCHARGE,
EFF_DATE = x.EFF_DATE
}).Where(x=>x.Index==1).ToList();</yourdataclass>