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M anager's Recommended Fee Schedule- FY 2015-16 43 <br /> Manager's Recommended Fee Last <br /> Department/Program Description Current Fee Schedule for FY 2015-16* Revision <br /> 92587 OAE invited $100.00 2012 <br /> 93000 Electrocardio am,Com lete $33.00 2009 <br /> 93005 Electrocaoliogrant,Tracing Only $22.00 2009 <br /> 94640 Ai Inhalation Treatment $22.00 2009 <br /> 94664 AerosoYVa or Inhalation Treatment $22.00 2009 <br /> 94760 Pulse O en $8.00 2009 <br /> 96110 Develo ental Test $23.00 2012 <br /> 96152 Health&Behavior Intervention $55.00 2012 <br /> 96372 Ther/Pro h/Dia in/SC/IM $60.00 2012 <br /> 97802 Medical Nutrition Thera /Initial 15 min.Unit $30.00 2009 <br /> 97803 Medical Nuhirion Thera /Re-Aeeeee 15 min.Unit $30.00 2009 <br /> 97804 Medical Nutrition Thera -Grou 2 or more $15.00 2011 <br /> 99000 Lab:Handling Fee $11.00 2009 <br /> 99070 Special Supplies $18.00 2009 <br /> 99173 Vision $7.00 2009 <br /> 99175 Induction of Vomit $67.00 2009 <br /> 99201 New Office/Out t Tx BriefE&M $110.00 2009 <br /> 99202 New Office/Outpt Tx Expanded Prob Focused <br /> E&M $165.00 2009 <br /> 99203 New Office/Out t Tx Detailed E&M $200.00 2009 <br /> 99204 New Office/Out t Tx Moderate Complex E&M $335.00 2009 <br /> 99205 New Office/Out t Tx High Complex E&M $405.00 2009 <br /> 99211 Estab Offic/Out t Tx BriefE&M $60.00 2012 <br /> 99212 Estab Office/Out t Tx Prob Focused E&M $100.00 2012 <br /> 99213 Estab Office/OuttTxExpanded Focused E&M $150.00 2012 <br /> 99214 Estab Office/Out t Tx Detailed E&M $225.00 2012 <br /> 99215 Estab Office/Out t Tx Comprehensive E&M $305.00 2012 <br /> 99381 PreventivelNew Pt<1 $255.00 2012 <br /> 99382 Preventive/New Pt lA s. $270.00 2012 <br /> 99383 Preventive/New Pt S-11 s. $275.00 2012 <br /> 99384 Preventive/New Pt 12-17 s. $235.00 2012 <br /> 99385 Preventive/Ne'2 18_]9 e. $235.00 2012 <br /> 99386 Preventive/New Pt 40-64 s. $267.00 2009 <br /> 99387 Preventive/New Pt65+ s. $242.00 2008 <br /> 99391 Preven nve/Estab Pt<1 $225.00 2012 <br /> 99392 Preventive/Estab Pt 1-4 yos. $225.00 2012 <br /> 99393 Preventive/Estab Pt 5-11 s. $200.00 2012 <br /> 99394 P5ennve/Estab Pt 12-17 yos. $205.00 2012 <br /> 99395 Preventive/Estab Pt 18-39 s. $225.00 2012 <br /> 99396 Preventive/Estab Pt 40-64 s. $220.00 2012 <br /> 99397 Preventive/Estab Pt 65+yos. $212.00 2004 <br /> D SME(Diabetes Self Management Education) <br /> minimum fee 28 N/A $20.00 N- <br /> 99406 Tobacco Use Cessation Course -Intermediate $10.66 2012 <br /> 99407 Tobacco Use Cessation Course -Intensive $22.10 2012 <br /> 99420 Health Check Autism Assessment 29 $8.14 $9.20 2013 <br /> Recoding Education Classes $30.00/hr 2010 <br /> Recoding Consultant Services Hlealth Educators $20.00/hr 2010 <br /> Recoding Patient Education(non Physician) $35.00/unit 2012 <br /> Recoding Health Risk Appraisal 1$12.00 2004 <br /> * Any fee changes wi I I be included in this column; <br /> a bl ank besi de each f ee means there i s no f ee change i n FY 2015-16 Manager Recommended Fee Schedule <br />