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Description - DE Medical Assistance Program

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11051 PARING OR CURETTEMENT OF BENIGN HYP O $0.00<br />

11052 PARING OR CURETTEMENT OF BENIGN HYP O $0.00<br />

11055 TRIM SKIN LESION 3 $44.33<br />

11056 TRIM SKIN LESIONS, 2 TO 4 3 $53.59<br />

11057 TRIM SKIN LESIONS, OVER 4 3 $63.96<br />

11060 SHAVING OF EPI<strong>DE</strong>RMAL OR SUPERFICIAL O $0.00<br />

11061 SHAVING OF EPI<strong>DE</strong>RMAL OR SUPERFICIAL O $0.00<br />

11062 SHAVING OF EPI<strong>DE</strong>RMAL OR SPUERFICIAL O $0.00<br />

11100 BIOPSY, SKIN LESION 3 $95.23<br />

11101 BIOPSY, SKIN ADD-ON 3 $30.78<br />

1110F PT LFT INPT FAC W/IN 60 DAYS 9 $0.00<br />

1111F DSCHRG MED/CURRENT MED MERGE 9 $0.00<br />

1116F AURIC/PERI PAIN ASSESSED 9 $0.00<br />

1118F GERD SYMPS ASSESSED 12 MONTH 9 $0.00<br />

1119F INIT EVAL FOR CONDITION 9 $0.00<br />

11200 REMOVAL OF SKIN TAGS 3 $77.09<br />

11201 REMOVE SKIN TAGS ADD-ON 3 $17.38<br />

1121F SUBS EVAL FOR CONDITION 9 $0.00<br />

1123F ACP DISCUSS/DSCN MKR DOCD 9 $0.00<br />

1124F ACP DISCUSS-NO DSCNMKR DOCD 9 $0.00<br />

1125F AMNT PAIN NOTED PAIN PRSNT 9 $0.00<br />

1126F AMNT PAIN NOTED NONE PRSNT 9 $0.00<br />

1127F NEW EPISO<strong>DE</strong> FOR CONDITION O $0.00<br />

1128F SUBS EPISO<strong>DE</strong> FOR CONDITION O $0.00<br />

11300 SHAVE SKIN LESION 3 $62.70<br />

11301 SHAVE SKIN LESION 3 $85.56<br />

11302 SHAVE SKIN LESION 3 $102.07<br />

11303 SHAVE SKIN LESION 3 $119.93<br />

11305 SHAVE SKIN LESION 3 $63.38<br />

11306 SHAVE SKIN LESION 3 $87.97<br />

11307 SHAVE SKIN LESION 3 $104.17<br />

11308 SHAVE SKIN LESION 3 $115.31<br />

1130F BK PAIN + FXN ASSESSED 9 $0.00<br />

11310 SHAVE SKIN LESION 3 $77.70<br />

11311 SHAVE SKIN LESION 3 $98.36<br />

11312 SHAVE SKIN LESION 3 $114.06<br />

11313 SHAVE SKIN LESION 3 $142.11<br />

1134F EPSD BK PAIN FOR =< 6 WKS 9 $0.00<br />

1135F EPSD BK PAIN FOR > 6 WKS 9 $0.00<br />

1136F EPSD BK PAIN FOR 12 WKS 9 $0.00<br />

11400 EXC TR-EXT B9+MARG 0.5 < CM 3 $107.56<br />

11401 EXC TR-EXT B9+MARG 0.6-1 CM 3 $131.83<br />

11402 EXC TR-EXT B9+MARG 1.1-2 CM 3 $146.76<br />

11403 EXC TR-EXT B9+MARG 2.1-3 CM 3 $168.92<br />

11404 EXC TR-EXT B9+MARG 3.1-4 CM 3 $191.74<br />

11406 EXC TR-EXT B9+MARG > 4.0 CM 3 $272.94<br />

11420 EXC H-F-NK-SP B9+MARG 0.5 < 3 $108.13<br />

11421 EXC H-F-NK-SP B9+MARG 0.6-1 3 $139.96

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