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Commissioner Approved Fee Schedule - FY 2019-20 <br />* Any fee changes will be included in this column; <br />a blank beside each fee means there is no fee change in FY 2019-20 Commissioner Approved Fee Schedule <br />Department/Program Description Current Fee <br />Commissioner Approved <br />Fee Change for <br />FY 2019-20* <br />Last <br />Revision <br />99385 Preventive/New Pt 18-39 yrs.$235.00 2012 <br />99386 Preventive/New Pt 40-64 yrs.$267.00 2009 <br />99387 Preventive/New Pt 65+ yrs.$242.00 2008 <br />99391 Preventive/Estab Pt < 1 yr.$225.00 2012 <br />99392 Preventive/Estab Pt 1-4 yrs.$225.00 2012 <br />99393 Preventive/Estab Pt 5-11 yrs.$200.00 2012 <br />99394 Preventive/Estab Pt 12-17 yrs.$205.00 2012 <br />99395 Preventive/Estab Pt 18-39 yrs.$225.00 2012 <br />99396 Preventive/Estab Pt 40-64 yrs.$220.00 2012 <br />99397 Preventive/Estab Pt 65+ yrs.$212.00 2004 <br />99406/G0436 Tobacco Use Cessation Counseling - (3-10 min)$13.00 2015 <br />99407/G0437 Tobacco Use Cessation Counseling - (10+ min)$32.00 2015 <br />99408/G0396 ETOH & Substance Abuse Screening (15-30 min)$35.00 2018 <br />99409/G0397 ETOH & Substance Abuse Screening (30+ min)$67.00 2018 <br />99499 DOT Physical $0.00 $100.00 2019 <br />99501 Home Visit Postpartum $200.00 2015 <br />99502 Home Visit Newborn $200.00 2015 <br />D0145 Oral Evaluation <3 yrs with counseling $55.00 2012 <br />D1206 Topical Fluoride Appl $47.00 2012 <br />G0008 Admin. Influenza Vaccine - Medicare $18.00 2009 <br />G0009 Admin. Pneumococcal Vaccine - Medicare $18.00 2009 <br />G0010 Hep B. - Admin. - Medicare $18.00 2015 <br />71