My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
2018-066
CBCC
>
Resolutions
>
2010's
>
2018
>
2018-066
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/19/2018 2:54:55 PM
Creation date
7/19/2018 2:53:27 PM
Metadata
Fields
Template:
Resolutions
Resolution Number
2018-066
Approved Date
07/17/2018
Agenda Item Number
9.A.
Resolution Type
Fees
Entity Name
Florida Department of Health (DOH) in Indian River
Subject
2018/2019 Fee Schedule
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
11
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
INDIAN RIVER COUNTY HEALTH DEPARTMENT <br />FEE SCHEDULE - <br />Page 2 of 7 7/11/2018 <br />FAMILY <br />PLANNING VISIT <br />DESCRIPTION <br />E/M CODES <br />0%-A <br />17%-B <br />33%-C <br />50%-D <br />67%-E <br />83%- F <br />90%- G <br />95%- H <br />100%-I CY18-19 Fee <br />Medical Visit <br />- New Patient <br />99201 Level One <br />$0.00 <br />$8.37 <br />$16.26 <br />$24.63 <br />$33.00 <br />$40.89 <br />$44.33 <br />$46.80 <br />$49.26 NO CHANGE <br />99202 Level Two <br />$0.001 <br />$14.1911 <br />$27.S41 <br />$41.73 <br />$55.91 <br />$69.26 <br />$75.11 <br />$79.28 <br />$83.45 NO CHANGE <br />99203 Level Three <br />$0.00 <br />$20.73 <br />$40.24 <br />$60.97 <br />$81.70 <br />$101.21 <br />$109.75 <br />$115.84 <br />$121.94 NO CHANGE <br />99204 Level Four <br />$0.001 <br />$31.65 <br />$61.44 1 <br />$93.10 <br />$124.75 <br />$154.54 <br />$167.57 <br />$176.88 <br />$186.19 NO CHANGE <br />99201 TD Nurse Protocol <br />$0.001 <br />$8.37 <br />$16.26 <br />$24.63 <br />$33.00 <br />$40.89 <br />$44.33 <br />$46.80 <br />$49.26 NO CHANGE <br />Medical Visit - Established Patient <br />99211 Level One <br />$0.00 <br />$3.86 <br />$7A9 <br />$11.361 <br />$1S.221 <br />$18.85 <br />$20.44 <br />$21.57 <br />$22.7100 CHANGE <br />99212 Level TWo <br />$0.00 <br />$8.37 <br />$16.26 <br />$24.63 <br />$33.00 <br />$40.89 <br />$44.33 <br />$46.80 <br />$49.26 O CHANGE <br />99213 Level Three <br />$0.00 <br />$13.79 <br />$26.76 <br />$40.SS <br />$54.34 <br />$67.31 <br />$72.99 <br />$77.05 <br />$81.10 NO CHANGE <br />99214 Level Four <br />$0.00 <br />$20.22 <br />$39.24 <br />$59.46 <br />$79.68 <br />$98.70 <br />$107.03 <br />$112.97 <br />$118.92 O CHANGE <br />99211 TD Nurse Protocol <br />$0.00 <br />$3.86 <br />$7.49 <br />$11.36 <br />$15.22 <br />$18.85 <br />$20.44 <br />$21.57 <br />$22.71 ' O CHANGE <br />Family Planning <br />Initial/Annual Family Planning Visit* <br />$0.001 <br />$15.30 <br />$29.70 <br />$45.00 <br />$60.30 <br />$74.70 <br />$81.00 <br />$85.50 <br />$90.00 NO CHANGE <br />Subsequent Family Planning Visit(s) <br />$0.001 <br />$3.86 <br />$7.49 <br />$11.36 <br />$15.22 <br />WAS <br />$20.44 <br />$21.57 <br />$22.71 NO CHANGE <br />*Includes all applicable In-house laboratory services. All contracted Labs wUl be charged as per sliding fee sale ($35.00). <br />All Lab fees Will be charged in addition to office visits on a sliding fee sale. Insurance Will not be billed for lab services. <br />Procedures not Included in office visit <br />58301 IUD Removal <br />$0.00 <br />$10.20 <br />$19.80 <br />$30.00 <br />$40.20 <br />$49.80 <br />$54.00 <br />$57.001 <br />$60.00 NO CHANGE <br />Other Services <br />0%-A <br />17%-B <br />33%-C <br />50%-D <br />67%-E <br />83%- F <br />100%-G <br />CY18-19 Fee <br />Smoking Cessation Intermediate 3 - 10 minutes <br />$0.00 <br />$2.19 <br />$4.25 <br />$6.45 <br />$8.64 <br />$10.70 <br />$12.89 <br />NO CHANGE <br />Smoking Cessation Intensive i 10 minutes_ <br />$0.00 <br />$4.32 <br />$8381 <br />$12.70 <br />$17.01 <br />$21.07 <br />$25.39 <br />NO CHANGE <br />99499 - Flouride Varnish - 521.01 <br />$0.00 <br />$4.25 <br />$8.25 <br />$12.50 <br />$16.75 <br />$20.751 <br />$25.00 <br />NO CHANGE <br />HIV Pre -Test Counseling <br />$0.00 <br />$3.86 <br />$7.49 <br />$11.36 <br />$15.22 <br />$18.85 <br />$22.71 <br />NO CHANGE <br />HIV Post -Test Counseling+ <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />$0.00 <br />NO CHANGE <br />- <br />- <br />+ included in pre-test counseling <br />Procedures not included in office visit <br />0%-A <br />17%-B <br />33% - C <br />50% - D <br />67% - E <br />83% - F <br />100% - G <br />CY 18-19 In <br />58301 IUD Removal <br />$0.00 <br />$10.20 <br />$19.80 <br />$30.00 <br />$40.20 <br />$49.80 <br />$60.00NO CHANGE <br />11765 Ingrown Toenail Treatment <br />$0.00 <br />$8.50 <br />$16.50 <br />$25.00 <br />$33.50 <br />$41.50 <br />$50.00 <br />O CHANGE <br />17000 Wart Treatment - First <br />$0.00 <br />$5.95 <br />$11.55 <br />$17.50 <br />$23.45 <br />$29.05 <br />$35.00 <br />,� OCHANGE <br />17003 Wart Treatment - Each additional wart <br />$0.00 <br />$1.02 <br />$1.98 <br />$3.00 <br />$4.02 <br />$4.98 <br />$6.00 <br />NO CHANGE <br />100601ndsion and Drainage <br />$0.00 <br />$9.35 <br />$18.15 <br />$27.50 <br />$36.85 <br />$45.65 <br />$55.00 <br />NO CHANGE <br />94640 Respiratory Treatment • <br />$0.00 <br />$1.70 <br />$3.30 <br />$5.00 <br />$6.70 <br />$8.30 <br />$10.00 0 CHANGE <br />93000 EKG <br />$0.00 <br />$S.101 <br />$9.90 <br />$15.00 <br />$20.10 <br />$24.90 <br />$30.00 <br />NO CHANGE <br />• There Is an additional charge for mediation <br />Page 2 of 7 7/11/2018 <br />
The URL can be used to link to this page
Your browser does not support the video tag.