AMOUNT AMOUNT AMOUNT AMOUNT AMOUNT Effective PROCEDURE Effective DESCRIPTION UNIT Effective 2/22/17 to Effective CODE 8/1/18 Effective 7/29/16 to 6/30/17 and 7/1/17 to to 7/1/19 2/21/17 7/1/18 to 6/30/18 6/30/19 7/31/18 G0299 TD 15 RN Services $12.16 $12.16 $13.47 $13.88 $13.74 0551 minutes G0299 TD UN 15 RN Services – $6.94 $6.69 $7.41 $7.63 $7.56 0551 minutes multiple patients (2) TD UP 15 RN Services N/A $4.87 $5.39 $5.55 $5.50 0551 minutes patients (3) TE 15 LPN Services $8.04 $8.04 $9.56 $9.90 $9.75 0559 minutes G0300 TE UN 15 LPN Services – $4.74 $4.43 $5.27 $5.45 $5.37 0559 minutes multiple patients (2) G0300 TE UP 15 LPN Services – N/A $3.21 $3.83 $3.96 $3.90 0559 minutes multiple patients (3) 15 T1000 Independent RN $10.96 $10.96 $13.47 $13.88 $13.74 minutes TD 15 Independent RN – TD UN $6.13 $6.03 $7.41 $7.63 $7.56 minutes multiple patients (2) T1000 TD UP 15 Independent RN– N/A $4.39 $5.39 $5.55 $5.50 minutes multiple patients (3)
PROCEDURE CODE DESCRIPTION UNIT AMOUNT Effective 7/29/16 to 2/21/17 AMOUNT Effective 2/22/17 to 6/30/17 and 7/1/18 to 7/31/18 AMOUNT Effective 7/1/17 to 6/30/18 AMOUNT Effective 8/1/18 to 6/30/19 AMOUNT Effective 7/1/19 G0299 TD 0551 RN Services 15 minutes $12.16 $12.16 $13.47 $13.88 $13.74 G0299 TD UN 0551 RN Services patients (2) 15 minutes $6.94 $6.69 $7.41 $7.63 $7.56 TD UP 0551 RN Services – multiple patients (3) 15 minutes N/A $4.87 $5.39 $5.55 $5.50 TE 0559 LPN Services 15 minutes $8.04 $8.04 $9.56 $9.90 $9.75 G0300 TE UN 0559 LPN Services – multiple patients (2) 15 minutes $4.74 $4.43 $5.27 $5.45 $5.37 G0300 TE UP 0559 LPN Services – multiple patients (3) 15 minutes N/A $3.21 $3.83 $3.96 $3.90 T1000 TD Independent RN 15 minutes $10.96 $10.96 $13.47 $13.88 $13.74 TD UN Independent RN – multiple patients (2) 15 minutes $6.13 $6.03 $7.41 $7.63 $7.56 T1000 TD UP Independent RN– multiple patients (3) 15 minutes N/A $4.39 $5.39 $5.55 $5.50
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