Medicaid Fee Schedule without Mods 200801

PROC-CODE DESC MAC BEG END
99271
CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED
PATIENT, WHICH REQUIRES THESE $24.74 20041001 99999999
99272
CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED
PATIENT, WHICH REQUIRES THESE $46.51 20041001 99999999
99273
CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED
PATIENT, WHICH REQUIRES THESE $65.34 20041001 99999999
99274
CONFIRMATORY CONSULTATION FOR A PATIENT, WHICH REQUIRES
THESE THREE KEY COMPONEN $89.26 20030401 99999999
99275
CONFIRMATORY CONSULTATION FOR A PATIENT, WHICH REQUIRES
THESE THREE KEY COMPONEN $116.93 20030401 99999999
99281
EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND
MANAGEMENT OF A PATIENT, WHICH $15.42 20060701 99999999
99282
EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND
MANAGEMENT OF A PATIENT, WHICH $23.95 20060701 99999999
99283
EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND
MANAGEMENT OF A PATIENT, WHICH $48.05 20060701 99999999
99284
EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND
MANAGEMENT OF A PATIENT, WHICH $73.66 20060701 99999999
99285
EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND
MANAGEMENT OF A PATIENT, WHICH $115.85 20060701 99999999
99288
PHYSICIAN DIRECTION OF EMERGENCY MEDICAL SYSTEMS (EMS)
EMERGENCY CARE, ADVANCED $16.59 19990701 99999999
99289
PHYSICIAN CONSTANT ATTENTION OF THE CRITICALLY ILL OR
INJURED PATIENT DURING AN $150.46 20060701 99999999
99290
PHYSICIAN CONSTANT ATTENTION OF THE CRITICALLY ILL OR
INJURED PATIENT DURING AN $77.49 20060701 99999999
99291
CRITICAL CARE, INCLUDING THE DIAGNOSTIC AND THERAPEUTIC
SERVICES AND DIRECTION O $144.08 20060701 99999999
99292
CRITICAL CARE, INCLUDING THE DIAGNOSTIC AND THERAPEUTIC
SERVICES EACH ADDITIONAL $71.82 20060701 99999999
99293
INITIAL PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24 MONTHS
OF AGE, PER DAY, F $144.08 20060701 99999999
99294
SUBSEQUENT PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24
MONTHS OF AGE, PER DAY $100.00 20060701 99999999
99295
INITIAL NICU CARE, PER DAY, FOR THE EVALUATION AND
MANAGEMENT OF A CRITICALLY IL $300.00 20060701 99999999
99296
SUBSEQUENT NICU CARE, PER DAY, FOR THE EVALUATION AND
MANAGEMENT OF A CRITICALLY $100.00 20060701 99999999
99297
SUBSEQUENT NICU CARE, PER DAY, FOR THE EVALUATION AND
MANAGEMENT OF A CRITICALLY $108.00 20000101 99999999
99298
SUBSEQUENT NEONATAL INTENSIVE CARE, PER DAY, FOR THE
EVALUATION AND MANAGEMENT O $89.43 20060701 99999999
99299
SUBSEQUENT INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND
MANAGEMENT OF THE REC $81.77 20060701 99999999
99300
SUBSEQUENT INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND
MANAGEMENT OF THE REC $78.79 20060701 99999999
99301
EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED
PATIENT INVOLVING AN ANNUAL NU $46.61 20030401 99999999
99302
EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED
PATIENT INVOLVING A NURSING FA $60.71 20030401 99999999
99303
EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED
PATIENT INVOLVING A NURSING FA $81.15 20030401 99999999
99304
INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION
AND MANAGEMENT OF A P $46.61 20060701 99999999
99305
INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION
AND MANAGEMENT OF A P $60.71 20060701 99999999
99306
INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION
AND MANAGEMENT OF A P $74.08 20060701 99999999
Hawaii Medicaid Fee Schedule without Mods 01/2008 292