Description - DE Medical Assistance Program

78466 TC 3 137.32
51725 TC 3 138.56
78805 TC 3 139.17
93303 TC 3 139.3
91034 TC 3 139.67
E0272 UE 3 139.85
E0310 UE 3 140.55
51785 TC 3 140.78
93882 TC 3 141.52
95929 TC 3 141.76
77014 TC 3 141.88
78700 TC 3 142.5
E0184 UE 3 142.86
E1088 RR 3 144.24
E0266 RR 3 144.42
76101 TC 3 144.48
78800 TC 3 144.72
74280 TC 3 144.84
74251 TC 3 144.98
78011 TC 3 145.46
78457 TC 3 146.2
72270 TC 3 146.32
78600 TC 3 146.57
93315 26 3 146.73
77280 TC 3 147.07
78191 TC 3 147.18
93976 TC 3 148.18
E0235 UE 3 148.28
95961 26 3 148.51
91020 TC 3 148.55
78428 TC 3 149.16
78201 TC 3 149.89
78458 TC 3 150.26
93662 26 3 151.03
76942 TC 3 151.14