Apply FP Office or other outpatient visit for the evaluation and management of an established modifier if patient, which requires at least two (2) of these three (3) key components: a visit is only to comprehensive history; a comprehensive examination; and medical decision making of prevent or high complexity. Counseling and/or coordination of care with other providers or 99215 delay $82.60* agencies are provided consistent with the nature of the problem(s) and the patient's pregnancy or and/or family's needs. Usually, the presenting problem(s) are of moderate to high to otherwise severity. Physicians typically spend forty (40) minutes face-to-face with the patient control family and/or family. size Apply FP Initial comprehensive preventative medicine evaluation and management of an modifier if individual including an age and gender appropriate history, examination, visit is only to counseling/anticipatory guidance/risk factor reduction interventions, and the ordering prevent or 99384 of laboratory/diagnostic procedures, new patient, adolescent (age 12 through 17 delay $62.06* (All providers of these services must meet all Section 94 pregnancy or MaineCare Benefits Manual, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity to otherwise “Early, requirements for MaineCare members up to their twenty-first (21) birthday.) control family size Apply FP Initial comprehensive preventative medicine evaluation and management of an modifier if individual including an age and gender appropriate history, examination, visit is only to counseling/anticipatory guidance/risk factor reduction interventions, and the ordering prevent or 99385 of laboratory/diagnostic procedures, new patient, adolescent age 18-39 (All delay $61.43* providers of these services must meet all Section 94 pregnancy or MaineCare Benefits Manual, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity to otherwise “Early, requirements for MaineCare members up to their twenty-first (21) birthday.) control family size
99215 Office or other outpatient visit for the evaluation and management of an established patient, which requires at least two (2) of these three (3) key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Physicians typically spend forty (40) minutes face-to-face with the patient and/or family. Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $82.60* 99384 Initial comprehensive preventative medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient, adolescent (age 12 through 17 (All providers of these services must meet all MaineCare Benefits Manual, Section 94 “Early, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity requirements for MaineCare members up to their twenty-first (21) birthday.) Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $62.06* 99385 Initial comprehensive preventative medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient, adolescent age 18-39 (All providers of these services must meet all MaineCare Benefits Manual, Section 94 “Early, Periodic, Screening, Diagnostic and Treatment (EPSDT)” periodicity requirements for MaineCare members up to their twenty-first (21) birthday.) Apply FP modifier if visit is only to prevent or delay pregnancy or to otherwise control family size $61.43*
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