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Description - DE Medical Assistance Program

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19325 ENLARGE BREAST WITH IMPLANT 9 $0.00<br />

19328 REMOVAL OF BREAST IMPLANT 3 $453.14<br />

19330 REMOVAL OF IMPLANT MATERIAL 3 $579.73<br />

19340 IMMEDIATE BREAST PROSTHESIS 3 $741.20<br />

19342 <strong>DE</strong>LAYED BREAST PROSTHESIS 3 $852.77<br />

19350 BREAST RECONSTRUCTION 3 $770.16<br />

19355 CORRECT INVERTED NIPPLE(S) 9 $0.00<br />

19357 BREAST RECONSTRUCTION 3 $1,442.33<br />

19360 BREAST RECONSTRUCTION WITH MUSCLE O O $0.00<br />

19361 BREAST RECONSTR W/LAT FLAP 3 $1,552.56<br />

19362 BREAST RECONSTRUCTION WITH TRANSVER O $0.00<br />

19364 BREAST RECONSTRUCTION 3 $2,590.11<br />

19366 BREAST RECONSTRUCTION 3 $1,280.21<br />

19367 BREAST RECONSTRUCTION 3 $1,678.02<br />

19368 BREAST RECONSTRUCTION 3 $2,073.39<br />

19369 BREAST RECONSTRUCTION 3 $1,909.93<br />

19370 SURGERY OF BREAST CAPSULE 3 $631.27<br />

19371 REMOVAL OF BREAST CAPSULE 3 $723.77<br />

19380 REVISE BREAST RECONSTRUCTION 3 $711.85<br />

19396 <strong>DE</strong>SIGN CUSTOM BREAST IMPLANT 3 $213.82<br />

19499 BREAST SURGERY PROCEDURE 5 $0.00<br />

20000 INCISION OF ABSCESS 3 $187.40<br />

20005 INCISION OF <strong>DE</strong>EP ABSCESS 3 $279.19<br />

2000F BLOOD PRESSURE MEASURE 9 $0.00<br />

2001F WEIGHT RECORD 9 $0.00<br />

2002F CLIN SIGN VOL OVRLD ASSESS 9 $0.00<br />

2003F AUSCULTATION HEART PERFORM O $0.00<br />

2004F INITIAL EXAM INVOLVED JOINTS 9 $0.00<br />

20100 EXPLORE WOUND, NECK 3 $554.61<br />

20101 EXPLORE WOUND, CHEST 3 $361.05<br />

20102 EXPLORE WOUND, ABDOMEN 3 $428.25<br />

20103 EXPLORE WOUND, EXTREMITY 3 $516.83<br />

2010F VITAL SIGNS RECOR<strong>DE</strong>D 9 $0.00<br />

2014F MENTAL STATUS ASSESS 9 $0.00<br />

20150 EXCISE EPIPHYSEAL BAR 3 $885.03<br />

2018F HYDRATION STATUS ASSESS 9 $0.00<br />

2019F DILATED MACUL EXAM DONE 9 $0.00<br />

20200 MUSCLE BIOPSY 3 $176.66<br />

20205 <strong>DE</strong>EP MUSCLE BIOPSY 3 $243.62<br />

20206 NEEDLE BIOPSY, MUSCLE 3 $237.15<br />

2020F DILATED FUNDUS EVAL DONE 9 $0.00<br />

2021F DILAT MACUL+ EXAM DONE 9 $0.00<br />

20220 BONE BIOPSY, TROCAR/NEEDLE 3 $160.11<br />

20225 BONE BIOPSY, TROCAR/NEEDLE 3 $110.87<br />

2022F DIL RETINA EXAM INTERP REV 9 $0.00<br />

20240 BONE BIOPSY, EXCISIONAL 3 $210.68<br />

20245 BONE BIOPSY, EXCISIONAL 3 $582.68<br />

2024F 7 FIELD PHOTO INTERP DOC REV 9 $0.00<br />

20250 OPEN BONE BIOPSY 3 $346.53

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