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Page of 18 , <br /> N.C. Department of Environment, Health, and Natural Resources FY <br /> Division of General Services ` <br /> CONTRACT ADDENDUM <br /> Office, Section or Branch Contract Number <br /> — Lzange-4,at—Hea Dept. <br /> Contractor Activity <br /> 4125 TB CONTROL 0 4174 AUDIOMETRY <br /> 4126 STD CONTROL 4175 BLOOD CHEM (6) <br /> 3,�1a7 4176 BLOOD CHEM (12) <br /> 4127 ADULT TREATMENT 0 4178 NORPLANT 16.0674 <br /> 4131 CARDIOLOGY <br /> 4225 MAT CARE HOME VST <br /> 4132 NEUROLOGY 4226 POSTPARTUM MAT <br /> 4133 SPEECH & HEARING 4227 POSTPARTUM NEWBRN <br /> 4134 ORTHOPEDIC 4228 POSTPARTUM EPSDT <br /> 4135 SPEECH THERAPY <br /> 4229 PSYCHOSOCIAL COUNS -- <br /> 4136 PHYSICAL THERAPY <br /> 4137 CHILD TREATMENT 8,272 4230 NUTRITION COUNSEL - <br /> 4231 REFRESHER CHDBIRTH <br /> 4138 MATERNAL HEALTH 69,300 4232 RHO D IMMUNE GLOB <br /> 4139 INTRAPARTUM CARE <br /> 4140 DENTAL HEALTH 37,000 4233 PREGNANCY TEST <br /> 4234 ORAL GLUCOSE TOL <br /> 4141 NON STRESS 4235 MYELODYSPLASIA <br /> 4142 REFUGEE HEALTH 4236 DEPO PROVERA 527 <br /> 4143 PAP SMEAR 4237 CHRONIC DIS MONIT <br /> 4144 MAT CARE INITIAL 13,252 4238 COMPREHENSIVE ASSESMNT <br /> 4145 MAT CARE SUB 30,812 4239 LIMITED ASSESSMENT <br /> 4146 CHILDBIRTH CLASS 4240 COLPOSCOPY W/O BIOPSY <br /> 4147 MAT HOME VISIT <br /> 4241 COLPOSCOPY W/BIOPSY <br /> 4148 PARENTING CLASS 4242 CYROSURGERY <br /> 4149 VAG DELIV ONLY 4244 HEMOGLOBIN A1C <br /> 4150 TOTAL OBSTET VAG 4245 BLOOD CHOLESTEROL <br /> 4151 NEUROMUSCULAR 4246 BLOOD GLUCOSE-SERUM <br /> 4152 ULTRASOUND 4247 BLOOD GLUCOSE-FINGER <br /> 4153 OBSTETRIC CARE 4248 STOOL OCCULT BLOOD <br /> 4154 CEASAREAN DELIV <br /> 4249 TB SKIN TEST-PPD <br /> 4155 HYSTERECTOMY 4250 SERUM CREATININE <br /> 4156 CHILD SERV COORD 95,040 4251 TRIGLYCERIDES <br /> 4157 FAMILY PLANNING 9,000 <br /> 4252 LIPOPROTEIN <br /> 4158 EPSDT 19.884 4253 LIPID PANEL <br /> 4159 IMMUN UPDATE 0 4254 RABIES IMMUNE GLOB <br /> 4160 DEC 4255 RABIES VACCINE/UNIT <br /> 4161 DEC SPEECH & HEARING 4243 SCREEN MAMMOGRAPHY 235 <br /> 4162 HEPATITIS CHILD <br /> 4163 HEPATITIS ADULT TOTAL 30 ,043 <br /> 4173 GONORRHEA CULT <br /> Reviewed by <br /> DEHNR 3300 (revised 9/93) Initials Date <br /> General Services Division (Review 1195) <br />