Description - DE Medical Assistance Program

72159 26 3 89.58
70549 26 3 89.69
72255 TC 3 89.74
74247 TC 3 89.74
74270 TC 3 89.74
74283 TC 3 89.74
77031 TC 3 89.74
77421 TC 3 89.74
95805 26 3 89.86
70546 26 3 89.93
72198 26 3 90.06
74185 26 3 90.06
93975 26 3 90.41
77334 TC 3 90.48
75630 26 3 90.82
76770 TC 3 90.85
73206 26 3 90.91
73725 26 3 91.15
E0148 UE 3 91.15
71555 26 3 91.16
72191 26 3 91.27
73580 TC 3 91.96
93304 TC 3 91.96
74327 TC 3 92.33
75822 TC 3 92.33
93317 26 3 92.79
76811 26 3 92.91
95863 26 3 93.2
E0250 RR 3 93.53
79403 TC 3 93.68
76700 TC 3 93.81
E1084 RR 3 93.85
72295 TC 3 94.18
76805 TC 3 94.18
77750 TC 3 94.42