The URL can be used to link to this page

Home My WebLink AboutC.054.93010_0804FEES FY FEES FY CPT CODE SERVICE DESCRIPTION 2001-2002 2002-2003 90733 Adult Meningitis 60.00 68.00 90746 Adult Hepatitis B 55.00 60.00 90632 Adult Hepatitis A 45.00 55.00 90633 Ped/Adol. Hepatitis A 23.00 30.00 90658 Influenza Vaccine 5.00 7.00 90732 Pneumonia Vaccine 12.00 18.00 86580 PPD (77B Skin Test) 12.00 19.00 90669 Prevnar private stock 67.00 71.00 90713 Polio private stock New 7/U2002 26.00 Miscellaneous C9983 Pill Replacement 7.00 7.00 MS006 Chem 23 (Co. employee only) 40.00 Discontinued MS007 CBC (Co. employee only) 25.00 Discontinued MS003 TRUST Changed to new codes 7/1/2002 Medicaid Y and W Codes W80ION Child Health- EPSDT (new) 90.00 90.00 W 8010E Child Health - EPSDT (est) 90.00 90.00 W8016 EPSDT Interperiodic 90.00 90.00 W8201 Initial MCC 110.00 110.00 W8202 Subsequent MCC 55.00 55.00 Y2044 MCC Home Visit 74.00 74.00 Y2525 MOW Brief Visit 20.00 20.00 Y2526 MOW Standard Visit 55.00 55.00 Y2527 MOW Extended Visit 85.00 85.00 Y2013 STD control/treatment 80.00 80.00 Y2012 TB control/treatment 89.00 89.00 Y2331 HIV Case Mngt. (unit 15 min.) 11.00 11.00 Y2046 PP Home Visit -Mat. Assessment 60.00 60.00 Y2047 PP Home Visit -Newborn 60.00 60.00 W8204 Maternal Home Visit - nurse 88.00 88.00 Y2155 Child Service Coordination 89.00 89.00 Y2155A CSC - face-to-face subseq. 89.00 89.00 W8012 Immunization Update 20.00 20.00 ALLIED HEALTH SERVICES CPT CODE SERVICE DESCRIPTION Services for Community Members/Organizations Basic Cholesterol Screen & Nutrition Education 30.00 30.00 Full Lipid Profile & Nutri. Ed. 40.00 66.00 Breast Pump Rental (per mo.) 20.00 20.00 Programs for Community Groups/Organizations Blood pressure/hypertension 3.00 3.00 Community CPR course 45.00 45.00 infantichild CPR and First Aid course 45.00 45.00 Grocery Store Tour -Healthy Foods 10.00 10.00 Health Fair & Information Booths Donation Donation Health Topic Seminars (for professionals) 20.00 20.00 Health Topic Seminars (for the public/group) Donation Donation Individual wt. loss counseling (30 min) 10.00 10.00 Weight loss counseling for 5 (30 min.) 30.00 30.00 Stress management * 40.00 40.00 Smoking Cessation 40.00 40.00 Lighten -Up (Weight Loss & Stress Mgt.)* 40.00 40.00 Health Education Events** $0-$10.00 $0 - $10.00 Health Education Products Pamphlets (per 100) 15.00 15.00 Posters 5.00 5.00 Videos 40.00 40.00 Brochures (per 100) 20.00 20.00 Curriculum 40.00 40.00 Manuals 20.00 20.00 Other products*" $0-$100.00 $0 - $ IK00 *County employees receive a $10.00 discount * *Cost based on staff time, materials used & length of presentation Medicaid/Non-Medicaid Reimbursable Services W8203 Childbirth Education Classes $87.00 $87.00 W8205 Parenting Education Classes*** $76.00 $76.00 Y2045 Childbirth Refresher Class*** $34.00 $34.00