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fee schedule 2009 new - DE Medical Assistance Program

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01968 A ANES/ANALG CS <strong>DE</strong>LIVER ADD-ON 0.00<br />

01969 A ANESTH/ANALG CS HYST ADD-ON 0.00<br />

0196T 9 ARTHROD PRESAC INTERBODY EAC 0.00<br />

0197T 9 INTRAFRACTION TRACK MOTION 0.00<br />

0198T 9 OCULAR BLOOD FLOW MEASURE 0.00<br />

01990 A SUPPORT FOR ORGAN DONOR 0.00<br />

01991 A ANESTH, NERVE BLOCK/INJ 0.00<br />

01992 A ANESTH, N BLOCK/INJ, PRONE 0.00<br />

01995 O REGIONAL ANESTHESIA LIMB 0.00<br />

01996 3 HOSP MANAGE CONT DRUG ADMIN 48.15<br />

01999 5 UNLISTED ANESTH PROCEDURE 0.00<br />

0500F 9 INITIAL PRENATAL CARE VISIT 0.00<br />

0501F 9 PRENATAL FLOW SHEET 0.00<br />

0502F 9 SUBSEQUENT PRENATAL CARE 0.00<br />

0503F 9 POSTPARTUM CARE VISIT 0.00<br />

0505F 9 HEMODIALYSIS PLAN DOCÏD 0.00<br />

0507F 9 PERITON DIALYSIS PLAN DOCÏD 0.00<br />

0509F 9 URINE INCON PLAN DOCÏD 0.00<br />

0513F 9 ELEV BP PLAN OF CARE DOCÏD 0.00<br />

0514F 9 CARE PLAN HGB DOCÏD ESA PT 0.00<br />

0516F 9 ANEMIA PLAN OF CARE DOCÏD 0.00<br />

0517F 9 GLAUCOMA PLAN OF CARE DOCÏD 0.00<br />

0518F 9 FALL PLAN OF CARE DOCÏD 0.00<br />

0519F 9 PLANÏD CHEMO DOCÏD B/4 TXMNT 0.00<br />

0520F 9 RAD DOS LIMTS B/4 3D RAD 0.00<br />

0521F 9 PLAN OF CARE 4 PAIN DOCÏD 0.00<br />

0525F 9 INITIAL VISIT FOR EPISO<strong>DE</strong> 0.00<br />

0526F 9 SUBS VISIT FOR EPISO<strong>DE</strong> 0.00<br />

0528F 9 RCMND FLW-UP 10 YRS DOCD 0.00<br />

0529F 9 INTRVL 3+YRS PTS CLNSCP DOCD 0.00<br />

0535F 9 DYSPNEA MNGMNT PLAN DOCD 0.00<br />

0540F 9 GLUCO MNGMNT PLAN DOCD 0.00<br />

0575F 9 HIV RNA PLAN CARE DOCD 0.00<br />

10000 O INCISION AND DRAINAGE OF INFECTED O 0.00<br />

10001 O INCISION AND DRAINAGE OF INFECTED O 0.00<br />

10002 O INCISION AND DRAINAGE OF INFECTED O 0.00<br />

10003 O INCISION AND DRAINAGE OF INFECTED O 0.00<br />

1000F 9 TOBACCO USE ASSESSED 0.00<br />

1000H O PART H-ONLY DME, SUPPLIES AND HEARI 0.00<br />

1001F O TOBACCO USE, NON-SMOKING 0.00<br />

10020 O INCISION AND DRAINAGE OF FURUNCLE 0.00<br />

10021 3 FNA W/O IMAGE 131.46<br />

10022 3 FNA W/IMAGE 137.95<br />

1002F 9 ASSESS ANGINAL SYMPTOM/LEVEL 0.00<br />

1003F 9 LEVEL OF ACTIVITY ASSESS 0.00<br />

10040 3 ACNE SURGERY 87.94<br />

1004F 9 CLIN SYMP VOL OVRLD ASSESS 0.00<br />

1005F 9 ASTHMA SYMPTOMS EVALUATE 0.00<br />

10060 3 DRAINAGE OF SKIN ABSCESS 97.49<br />

10061 3 DRAINAGE OF SKIN ABSCESS 166.43

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