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Orange County Proposed Fee Schedule - FY 2009-10 <br /> ,, <br /> Pr'o flosecl~Fce ~hnti$c,~'or ~X: Last <br />t F <br />C ~ ~ `~1bb~ 1~l'~ Revision <br />ee <br />urren <br />De artmenUPro ram Descri lion I <br />Preveative/New Pt < 1 5104.00 SLU5r00 ~efc ° t + . F Y v~t~ 2008 <br />Preventive/New Pt 1-a 5106.00 SinT:- b.!-•'M,{r'-•- .:~-,+.~:.j"~`2.:,: 2008 <br />Preventive/Ne~r Pt 5-I1 5204.00 S206i1I0'i=~~.. ~.~., n ='',.E .,_, -~. 2008 <br />PrevenGveMnv Pt 12-17 SZ26.00 S'32$iUll' !az,"~~;~?~1"n ~s'i~b`r':";:" 2D08 <br />PreventiveMew Pt 16-39 5221.00 31f3 rte' ~' ~ a' oi~ a ' 2008 <br />PreventiveMewPt40-64 5264.00 S36'/liil .~' ~''' ~"x': 2008 <br />Prevaa[ive/NavPttiS+ 5239.00 S'1~13:Ob„''~r:~ .~.:_3:~..''°-~_!-.t:.:~: 2008 <br />Preveotrve/Estab Pt < 1 599.00 SIA0100 ;:~;' . t .~.: J,. ;:3Y_.r~.... ~ 2008 <br />Preventive/Estab Pt f-4 599.00 SfDO b0 °" + ~ n ? <br />~ 2D08 <br />Preventive/EstabPtS-ll SIti5.00 SI6 s00`L~^--a * ~- <br />a ~ 2008 <br />Praventive/Estab Pt 12-17 5193.00 S195i(IOi. ~ k t_ t : %~ E` . 2008 <br />Prevenrive/Estab Pt IB-39 8188.00 Si9DOD- ~-^.° a 4 ' ~` 2006 <br />Preventive/Estab Pt 40-64 5210.00 S2~:OQr.._^,y _.: "...s4 .' 'i: 2008 <br />Prevendve/Estab Pt 65+ 5210.00 1 i 0 ``~" 1; u . 2008 <br />Hama Visit for Poemetal Assmt & F/U Cam 583.00 y~q,00 ~ ~-',p, , _..,..,,,, 3r_rg 10pg <br />Homo Visit for Newbom Care & Assessment 583.00 58.4:00;'%:-,~~^.a*;. -: -:~°y~:K+.•: ~ ~~:'•'~' 2008 <br />Newborn EPSDT Sereen Home Visit 550.00 2008 <br /> Periodic Orel Eval E2LOU _ 2008 <br /> OnlEvaluation4 withcounselht 550.00 SS1~00;~,'~t....,_.,:~:~~~':^.a_:.:T 2t108 <br /> Com rehensive Oral Eval 542.00 2007 <br /> To iwl Fluoride A 1 521.00 2007 <br /> Oral H iene Instruction S 17.00 2007 <br /> Adm of Tnflueaza Vaccine S (1.00 S18t0.Or:i='-' .:~ `'- n ..:7=. :'r' <br />' <br />- 2007 <br /> <br />AdmofPneumococcalVaccine 55.00 r r ': <br />",:gin:M+1~: ..:~.ct <br />Sf8 b'' <br />~ °~-':-' -= 2007 <br /> CBltS Individual Professional 321.00 2008 <br /> Am icillin OMNIP-POLYN-TOT U to 5 56.00 2007 <br /> Azilhrom cin SOOm 528.00 2008 <br /> Penicillin 0 Benzathine/Procaine 1200 000 Un 522.00 2007 <br /> Penia'ilin G Heniathine to 600 000 Units 518.00 S24i011.+'~" } ~ "` :' 2008 <br /> Penicillin G Benzathine u to 1200 000 Units 528.00 541 bD~' e7" *- ~ ~n 2008 <br /> Penicillin 6 Henzathine u to 2 400 000 Units 555.00 556t00,?`5%3'"'~~ '~ $ <x ~a ~ '' ~ 2008 <br /> Cefltiaxoae SodiurdRoce hin er 250m 522.00 2007 <br /> C' rofloxacin 200m 522.00 SI:d.6.R>:="s'~~-;a`• _z. ~' s i .'"'' '-.2007 <br /> Da o Proveta In action 561.00 562.00.:, ~=4 ,L.r;"., .r , u,Y r.~~r'~ = 2008 <br /> Di henh dmmine HCLBenad I to SOm 56.00 2007 <br /> Promethozine m ~ 58.00 <br /> ' B-12In'ection 56.00 2007 <br /> Nomtal Saline Solution Infusion 1000cc 5!8.00 2008 <br /> MQara IUD 5524.00 S.i7di6be~~4~`~tr~: =' ii'.=r;~= 't~:', °i 2008 <br /> Sorts Ph sical 544.00 2006 <br /> Cam Ph iral f44.00 2008 <br /> Colle a Ph sical 544.00 2008 <br /> Childbirth Education 528.00 2008 <br />(I) Any Proposed fee cbaoges will be included in this column; page 22 IV <br />s blank beside each fee means there is no fee change in FY 2009-10 Proposed Fee Schedule ' <br />