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Orange County Proposed Fee Schedule-FY 2010-11 <br /> Proposed,�'ee Ch�nge for FY' Last <br /> De artmenUPro ram Description Current Fee 26�b 11 t�� . Revision <br /> Preventive/New Pt<I $105.00 2009 <br /> Preven[ive/New Pt 1-4 rs. $107.00 2009 <br /> Preventive/New Pt 5-I1 rs. $206.00 2009 <br /> Preventive/New PE 12-17 s. $228.00 2009 <br /> Preventive/New Pt 18-39 s. $223.00 2009 <br /> Proventive/New Pt 40-64 s. $267.00 2009 <br /> Preventive/New Pt 65+ s. 5242.00 2009 <br /> Preventive/Estab Pt<I E 100.00 2009 <br /> Preventive/Estab Pt 1-4 s. 5100.00 2009 <br /> Preventive/Estab Pt 5-L 1 s. $167.00 2009 <br /> Preventive/Estab P[12-17 s. $195.00 2009 <br /> Preventive/EstabPtl839 s. $190.00 2009 <br /> Preventive/Estab Pt 40-64 s. $212.00 2009 <br /> Preventive/Estab Pt 65+ s. $212.00 2009 <br /> Home Visi[for Posmatal Assmt&F/U Care $84.00 2009 <br /> Home Visit for Newbom Care&Assessment $84.00 2009 <br /> Newborn EPSDT Screen Home Visit $50.00 �$�'['� � ^," "�;"� <br /> >3,;� 2008 <br /> Periodic Oral Eval $2I.00 ]3TI:ETE�,'`�„" ;,, .�¢�� �,�;�2008 <br /> Oral Evalua[ion<3 s with counselin $51.00� � 2009 <br /> Com rehensive Oral Eval 542.00 l�� �1�' `";'= ,� 1a; '.';�=2007 <br /> To ical Fluoride A 1 $2L00 2007 <br /> Oral H 'ene Instruction 517.00 D `��7'& l 2007 <br /> Adm of Influenza Vaccine $18.00 2009 <br /> Adm of Pneumococcal Vaccine $18.00 Zppg <br /> � Behavioral Health Caunselin &Thera n/a 2:�,x,. ` ,w�yq�. :::'New <br /> � � � Mental Health Assessment n/a �22;� � ��:New <br /> CBRS Individual Professional $21.00 ����' ,,'`„�, ` �� r,;; <br /> ,.,,;, 2008 <br /> icillin OMNIP-POLYN-TOT U to 5 $6.00 �X`y�"�� �`'°��a �� s,+:S 2007 <br /> Azithrom cin SOOm $28.00 13E�'r'��i;,!�?�, � „�� �a.,!^;2008 <br /> Penicillin G Benzathine/Procaine 1,200,000 Uu $22.00 � ��` a `���� „����`����`2007 <br /> Penicillin G Benzathine u to 600,000 Units $24.00 �,1 '- `�& �, 2009 <br /> Penicillin G Benzathine u to 1 200,000 Units $4 L00 �1� ' � .�u`� �''"� *��.i 2009 <br /> Penicillin G Benzathine u to 2,400,000 Units $56.00 I)Tut,��'k"�'IJ�"v,„,�..�, ,,x,:�'', �_<�,'2009 <br /> Ceflriaxone Sodium/Roce hin er 250m $22.00 �2007 <br /> Ci rofloxacin,200m $24.00 b�`'�:�ETPv,__'�:��" v`�2009 <br /> . De o Provera In'ection $62.00 2009 <br /> Di henh dramine HCUBenad 1 u [o SOm $6.00 2007 <br /> � Prome[hazine m $5.00 <br /> B-12 In'ection $6.00 2007 <br /> Nomial5aline Solution Infusion(OOOcc $18.00 D�GETE . �:�"`i° ..;2008 <br /> Muena IUD $530.00 2009 <br /> S orts Ph sical $44.00 2008 <br /> Cam Ph sical a44.00 2008 <br /> Colle e P6 sical $44.00 2008 <br /> Childbirth Education $28.00 D��`I'E ` �'_2008 <br /> (1)My fee changes will be included in this wlumn; 'A <br /> a blank beside each fee means there is no fee change in FY 2010-1 I � Proposed Fee Schedule � <br />