fee schedule 2009 new - DE Medical Assistance Program

S5000 9 PRESCRIPTION DRUG, GENERIC 0.00
S5001 9 PRESCRIPTION DRUG,BRAND NAME 0.00
S5002 9 FAT EMULSION 10% IN 250 ML 0.00
S5003 9 FAT EMULSION 20% IN 250 ML 0.00
S5010 9 5% DEXTROSE AND 0.45% SALINE 0.00
S5011 9 5% DEXTROSE IN LACTATED RING 0.00
S5012 9 5% DEXTROSE WITH POTASSIUM 0.00
S5013 9 5%DEXTROSE/0.45%SALINE1000ML 0.00
S5014 9 D5W/0.45NS W KCL AND MGS04 0.00
S5016 9 ANTIBIOTIC ADMIN SUPPLIES W/ 0.00
S5017 9 ANTIBIOTIC ADMINSUPPLIES W/O 0.00
S5018 9 PAIN THERAPY ADMIN SUPPLIES 0.00
S5019 9 CHEMOTHERAPY ADMIN SUPPLIES 0.00
S5020 9 CHEMOTHERAPY ADMIN SUPPLIES 0.00
S5021 9 HYDRATION THERAPY ADMIN SUPP 0.00
S5022 9 GROWTH HORMONE THERAPY 0.00
S5025 9 INFUSION PUMP RENTAL,PERDIEM 0.00
S5035 9 HIT ROUTINE DEVICE MAINT 0.00
S5036 9 HIT DEVICE REPAIR 0.00
S5100 9 ADULT DAYCARE SERVICES 15 MIN 0.00
S5101 7 ADULT DAY CARE PER HALF DAY 0.00
S5102 7 ADULY DAY CARE PER DIEM 0.00
S5105 7 CENTERBASED DAYCARE PERDIEM 0.00
S5108 9 HOMECARE TRAIN PT 15 MIN 0.00
S5109 9 HOMECARE TRAIN PT SESSION 0.00
S5110 9 FAMILY HOMECARE TRAINING 15M 0.00
S5111 9 FAMILY HOMECARE TRAIN SESSION 0.00
S5115 9 NONFAMILY HOMECARE TRAIN 15M 0.00
S5116 9 NON FAMILY HC TRAIN SESSION 0.00
S5120 9 CHORE SERVICES PER 15 MIN 0.00
S5121 9 CHORE SERVICES PER DIEM 0.00
S5125 9 ATTENDANT CARE SERVICES 15 M 0.00
S5126 9 ATTENDANT CARE SERVICE 15M 0.00
S5130 7 HOMAKER SERVICE NOS PER 15M 0.00
S5131 9 HOMEMAKER SERVICE NOS PER 15 M 0.00
S5135 9 ADULT COMPANION CARE PER 15M 0.00
S5136 9 ADULT COMPANION CARE PER DIEM 0.00
S5140 7 ADULT FOSTER CARE PER DIEM 0.00
S5141 9 ADULT FOSTER CARE PER MONTH 0.00
S5145 7 CHILD FOSTERCARE TH PER DIEM 0.00
S5146 9 THER FOSTERCARE CHILD MONTH 0.00
S5150 9 UNSKILLED RESPITE CARE 15M 0.00
S5151 9 UNSKILLED RESPIT CARE DIEM 0.00
S5160 7 EMERGENCY RESPONSE SYSTEM ERS INST 0.00
S5161 7 EMERGENCY RESPONSE SYSTEM ERS PER 0.00
S5162 7 EMERGENCY RESPONSE SYSTEM PURCHASE 0.00
S5165 5 HOME MODIFICATIONS PER SERV 0.00
S5170 9 HOMEDELIVERED PREPARED MEAL 0.00
S5175 9 LAUNDRY SERV EXT PROF ORDER 0.00
S5180 9 HH RESPIRATORY THRPY IN EVAL 0.00