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Lee County Health Department <br /> FY 22-23 Fee Schedule <br /> Charges <br /> CPT Name 100% <br /> 91301 corona....Severe acute respiratory syndrome 0.00 <br /> 92081 corona....VISUAL FIELD XM UNI/BI 70.00 <br /> 92082 W/INTERPRETJ LIMI....VISUAL FIELD XM UNI/BI W/INTERP 53.00 <br /> INTERMED.... <br /> 92499 UNLIVSTED OPHTHALMOLOGICAL SERVICE/PROCE.... 41.28 <br /> 92551 SCREENING TEST PURE TONE AIR ONLY 15.00 <br /> 93000 ECG ROUTINE ECG W/LEAST 12 LDS W/I&R 35.00 <br /> 96110 DEVELOPMENTAL SCREEN W/SCORING & DOC STD.... 13.00 <br /> 96127 BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUM.... 4.49 <br /> 96152 HLTH&BEHAVIOR IVNTJ EA 15 MIN INDIV 13.25 <br /> 96160 Administration of patient-focused health.... 0.00 <br /> 96161 Administration of caregiver-focused heal.... 8.42 <br /> 96372 THERAPEUTIC PROPHYLACTIC/DX INJECTION SU.... 21.00 <br /> 99000 HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE .... 20.00 <br /> 99070 SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY .... 0.00 <br /> 99071 EDUCATIONAL SUPPLIES PRV BY THE PHYS AT .... 0.00 <br /> 99173 SCREENING TEST VISUAL ACUITY QUANTITATIV.... 12.00 <br /> 99201 OFFICE OUTPATIENT NEW 10 MINUTES 78.00 <br /> 99202 OFFICE 0/P NEW SF 15-29 MIN 117.00 <br /> 99203 OFFICE 0/P NEW LOW 30-44 MIN 166.00 <br /> 99204 OFFICE 0/P NEW MOD 45-59 MIN 243.00 <br /> 99205 OFFICE 0/P NEW HI 60-74 MIN 306.00 <br /> 99211 OFFICE 0/P EST MINIMAL PROB 48.00 <br /> 99212 OFFICE 0/P EST SF 10-19 MIN 90.00 <br /> 99213 OFFICE 0/P EST LOW 20-29 MIN 99.00 <br /> 99214 OFFICE 0/P EST MOD 30-39 MIN 153.00 <br /> 99215 OFFICE 0/P EST HI 40-54 MIN 228.00 <br /> 99241 OFFICE CONSULTATION NEW/ESTAB PATIENT 15.... 104.00 <br /> 99242 OFFICE CONSULTATION NEW/ESTAB PATIENT 30.... 163.00 <br /> 99243 OFFICE CONSULTATION NEW/ESTAB PATIENT 40.... 194.00 <br /> 99244 OFFICE CONSULTATION NEW/ESTAB PATIENT 60.... 239.00 <br /> 8 <br />