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Commissioner Approved Fee Schedule - FY 2023-24 44 <br /> Last <br /> Department/Program Description Current Fee Revision <br /> Flat Fee Fabrication of Athletic Moutguard Projects $17.00 2009 <br /> Boil and Bite Mouthguards(students with braces) $5.00 2007 <br /> Sliding fee recommendation is to discontinue <br /> the$30 per preventative visit and$30 per <br /> procedure fee. Recommending to slide to 20% <br /> Minimum charge for dental visit with a minimum of$30 per visit. 2013 <br /> CPT Code <br /> Personal Health OOOIA Pfizer COVID-19 Vaccine Admin.(1st) $65.00 2022 <br /> 0002A Pfizer COVID-19 Vaccine Admin.(2nd) $65.00 2022 <br /> 0003A Pfizer COVID-19 Vaccine Admin.(3rd) $65.00 2022 <br /> 0004A Pfizer COVID-19 Vaccine Admin.(booster) $65.00 2022 <br /> 0051A Pfizer COVID-19 Vaccine Adm(1st)-Ready to Use $65.00 2022 <br /> 0052A Pfizer COVID-19 Vaccine Adm(2nd)-Ready to Use $65.00 2022 <br /> 0053A Pfizer COVID-19 Vaccine Adm(3rd)-Ready to Use $65.00 2022 <br /> Pfizer COVID-19 Vaccine Adm(booster)-Ready to <br /> 0054A Use $65.00 2022 <br /> 0071A Pfizer COVID-19 Vaccine Adm(1st)-Pediatric $65.00 2022 <br /> 0072A Pfizer COVID-19 Vaccine Adm(2nd)-Pediatric $65.00 2022 <br /> 0011A Moderna COVID-19 Vaccine Admin(1st) $65.00 2022 <br /> 0012A Moderna COVID-19 Vaccine Admin(2nd) $65.00 2022 <br /> 0013A Moderna COVID-19 Vaccine Admin(3rd) $65.00 2022 <br /> 0014A Moderna COVID-19 Vaccine Adm(Booster) $65.00 2022 <br /> 0031A Janssen COVID-19 Vaccine Adm(Single Dose) $65.00 2022 <br /> 0034A Janssen COVID-19 Vaccine Adm(Booster) $65.00 2022 <br /> 0202U Bct/Vir Respir DNA/RNA 22(UNC Lab) $416.78 2022 <br /> 10060 Drainage of Skin Abscess $117.00 2009 <br /> 10061 Drainage of Skin Abscess $200.00 2009 <br /> 10080 Drainage of Pilonidal Cyst $195.00 2009 <br /> 10120 Remove Foreign Body $133.00 2009 <br /> 10140 Drainage of Hematoma/Fluid $147.00 2009 <br /> 10160 Puncture Drainage of Lesion $94.00 2008 <br /> 11000 Debride Infected Skin $56.00 2009 <br /> 11055 Paring of corn/callus(1 lesion) $46.00 2009 <br /> 11200 Remove Skin Tags $89.00 2007 <br /> 11719 Trim Nail(s) $22.00 2008 <br /> 11720 Debride Nail 1-5 $33.00 2008 <br /> 11730 Avulsion of Nail Plate $97.00 2011 <br /> 11740 lDrain Blood from Under Nail $56.00 2009 <br /> 11981 lInsertion,non-biodegradable drug 1$250.00 12012 <br />