Description - DE Medical Assistance Program

3040F FEV=40% PREDICTED VALUE 9 $0.00
30430 REVISION OF NOSE 3 $845.29
30435 REVISION OF NOSE 9 $0.00
3044F HG A1C LEVEL LT 7.0% 9 $0.00
30450 REVISION OF NOSE 3 $1,451.66
3045F HG A1C LEVEL 7.0-9.0% 9 $0.00
30460 REVISION OF NOSE 3 $727.99
30462 REVISION OF NOSE 3 $1,411.94
30465 REPAIR NASAL STENOSIS 3 $916.32
3046F HEMOGLOBIN A1C LEVEL > 9.0% 9 $0.00
3047F HEMOGLOBIN A1C LEVEL = 9.0% O $0.00
3048F LDL-C = 130 MG/DL 9 $0.00
30520 REPAIR OF NASAL SEPTUM 3 $569.67
30540 REPAIR NASAL DEFECT 3 $629.14
30545 REPAIR NASAL DEFECT 3 $846.94
30560 RELEASE OF NASAL ADHESIONS 3 $245.22
30580 REPAIR UPPER JAW FISTULA 3 $580.08
30600 REPAIR MOUTH/NOSE FISTULA 3 $532.33
3060F POS MICROALBUMINURIA REV 9 $0.00
3061F NEG MICROALBUMINURIA REV 9 $0.00
30620 INTRANASAL RECONSTRUCTION 3 $573.45
3062F POS MACROALBUMINURIA REV 9 $0.00
30630 REPAIR NASAL SEPTUM DEFECT 3 $581.36
3066F NEPHROPATHY DOC TX 9 $0.00
3072F LOW RISK FOR RETINOPATHY 9 $0.00
3073F PRE-SURG EYE MEASURES DOCD 9 $0.00
3074F SYST BP LT 130 MM HG 9 $0.00
3075F SYST BP GE 130 - 139MM HG 9 $0.00
3076F SYST BP < 140 MM HG O $0.00
3077F SYST BP >= 140 MM HG6 IT 9 $0.00
3078F DIAST BP < 80 MM HG 9 $0.00
3079F DIAST BP 80-89 MM HG 9 $0.00
30800 CAUTERIZATION TURBINATES, UNILATERA O $0.00
30801 ABLATE INF TURBINATE, SUPERF 3 $205.88
30802 ABLATE INF TURBINATE SUBMUC 3 $265.18
30805 CAUTERIZATION TURBINATES, UNILATERA O $0.00
3080F DIAST BP >= 90 MM HG 9 $0.00
30820 CRYOSURGERY OF TURBINATES, UNILATER O $0.00
3082F KT/V LT1.2 9 $0.00
3083F KT/V GE 1.2 AND