97530 Therapeutic Activities, each 15 N 4 $ 30.56 minutes EPSDT Speech Language Pathology Description Code 92507 Individual N 1 $ 63.99 92508 Group N 1 $ 30.47 of 92521 Evaluation of N 1 $ 91.35 P speech 92522 Evaluation of N 1 $74.00 fluency speech sound production of N 1 $153.97 speech 92524 N 1 $77.40 with and evaluation of 92526 Treatment N 1 $80.85 language analysis of of voice and and N 1 $81.43 of and/or oral and oral Evaluation N 1 $70.21 function of auditory for feeding 92627 Evaluation of N 3 $17.37 status auditory function rehabilitation Auditory 92630 N 1 $63.99 rehabilitation pre-lingual Auditory 92633 N 1 $63.99 hearing loss post-lingual hearing loss
97530 Therapeutic Activities, each 15 minutes N 4 $ 30.56 EPSDT Speech Language Pathology Code Description of 92507 Individual N 1 $ 63.99 92508 Group N 1 $ 30.47 92521 Evaluation of speech fluency N 1 $ 91.35 92522 Evaluation of speech sound production N 1 $74.00 of speech with evaluation of language and N 1 $153.97 92524 and analysis of voice and N 1 $77.40 92526 Treatment of and/or oral function for feeding N 1 $80.85 of oral and function N 1 $81.43 Evaluation of auditory rehabilitation status N 1 $70.21 92627 Evaluation of auditory rehabilitation N 3 $17.37 92630 Auditory pre-lingual hearing loss N 1 $63.99 92633 Auditory post-lingual hearing loss N 1 $63.99 P
Audiology,%20Physical%20Therapy,%20and%20EPSDT%20Provider%20Manual%206%2021%2018.docx