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fee schedule 2009 new - DE Medical Assistance Program

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98962 9 SELF-MGMT EDUC/TRAIN, 5-8 PT 0.00<br />

98966 9 HC PRO PHONE CALL 5-10 MIN 0.00<br />

98967 9 HC PRO PHONE CALL 11-20 MIN 0.00<br />

98968 9 HC PRO PHONE CALL 21-30 MIN 0.00<br />

98969 9 ONLINE SERVICE BY HC PRO 0.00<br />

99000 9 SPECIMEN HANDLING 0.00<br />

99001 3 SPECIMEN HANDLING 3.10<br />

99002 9 <strong>DE</strong>VICE HANDLING 0.00<br />

99024 9 POSTOP FOLLOW-UP VISIT 0.00<br />

99025 O INITIAL SURGICAL EVALUATION 0.00<br />

99026 9 IN-HOSPITAL ON CALL SERVICE 0.00<br />

99027 9 OUT-OF-HOSP ON CALL SERVICE 0.00<br />

99050 3 MEDICAL SERVICES AFTER HRS 20.00<br />

99051 9 MED SERV, EVE/WKEND/HOLIDAY 0.00<br />

99052 O MEDICAL SERVICES AT NIGHT 0.00<br />

99053 9 MED SERV 10PM-8AM, 24 HR FAC 0.00<br />

99054 O MEDICAL SERVCS, UNUSUAL HRS 0.00<br />

99056 O MED SERVICE OUT OF OFFICE 0.00<br />

99058 9 OFFICE EMERGENCY CARE 0.00<br />

99060 9 OUT OF OFFICE EMERG MED SERV 0.00<br />

99062 O EMERGENCY CARE FACILITY SERVICES: W 0.00<br />

99064 O EMERGENCY CARE FACILITY SERVICES: W 0.00<br />

99065 O EMERGENCY CARE FACILITY SERVICES: W 0.00<br />

99070 O SPECIAL SUPPLIES 0.00<br />

99071 9 PATIENT EDUCATION MATERIALS 0.00<br />

99075 9 MEDICAL TESTIMONY 0.00<br />

99078 9 GROUP HEALTH EDUCATION 0.00<br />

99080 9 SPECIAL REPORTS OR FORMS 0.00<br />

99082 9 UNUSUAL PHYSICIAN TRAVEL 0.00<br />

99090 9 COMPUTER DATA ANALYSIS 0.00<br />

99091 9 COLLECT/REVIEW DATA FROM PT 0.00<br />

99100 9 SPECIAL ANESTHESIA SERVICE 0.00<br />

99116 9 ANESTHESIA WITH HYPOTHERMIA 0.00<br />

99135 9 SPECIAL ANESTHESIA PROCEDURE 0.00<br />

99140 9 EMERGENCY ANESTHESIA 0.00<br />

99141 O SEDATION, IV/IM OR INHALANT 0.00<br />

99142 O SEDATION, ORAL/RECTAL/NASAL 0.00<br />

99143 9 MOD CS BY SAME PHYS, < 5 YRS 0.00<br />

99144 9 MOD CS BY SAME PHYS, 5 YRS + 0.00<br />

99145 9 MOD CS BY SAME PHYS ADD-ON 0.00<br />

99148 3 MOD CS DIFF PHYS < 5 YRS 112.36<br />

99149 3 MOD CS DIFF PHYS 5 YRS + 112.36<br />

99150 3 MO<strong>DE</strong>RATE SEDATION SERVICES (OTHER 56.18<br />

99151 O PROLONGED PHYSICIAN ATTENDANCE REQU 0.00<br />

99152 O NEWBORN RESUSCITATION: CARE OF THE 0.00<br />

99160 O CRITICAL CARE, INITIAL, INCLUDING T 0.00<br />

99162 O CRITICAL CARE, INITIAL, INCLUDING T 0.00<br />

99170 3 ANOGENITAL EXAM, CHILD 132.49<br />

99171 O CRITICAL CARE, SUBSEQUENT FOLLOW-UP 0.00<br />

99172 O OCULAR FUNCTION SCREEN 0.00

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