Description - DE Medical Assistance Program

E1100 RR 3 99.32
93890 TC 3 99.49
93892 TC 3 99.49
93893 TC 3 99.49
E0635 RR 3 99.5
E0601 RR 3 99.59
95864 26 3 99.71
70010 TC 3 99.72
72240 TC 3 99.72
76872 TC 3 99.72
93926 TC 3 99.72
93931 TC 3 99.72
93971 TC 3 99.72
93979 TC 3 99.72
93990 TC 3 99.72
74283 26 3 99.79
79200 26 3 100.05
78216 TC 3 100.7
E0776 UE 3 100.76
95926 TC 3 100.83
93660 26 3 100.94
78813 26 3 101.25
76936 26 3 101.47
E1290 RR 3 101.77
91022 TC 3 101.95
76940 26 3 102.05
E1195 RR 3 102.16
79101 26 3 102.33
91037 TC 3 103.06
93965 TC 3 103.06
88355 26 3 103.7
95925 TC 3 103.79
E0305 UE 3 104.02
E0660 UE 3 104.3
74415 TC 3 104.54