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G0317

Prolonged nursing facility E/M, each 15 min (Medicare)
Prolonged nursing facility E/M, each 15 min (Medicare)

G0318

Prolonged home/residence E/M, each 15 min (Medicare)
Prolonged home/residence E/M, each 15 min (Medicare)

G0323

Care manage beh svs 20mins
Care manage beh svs 20mins

G3002

Chronic pain management services (initial 30 minutes)
Chronic pain management services (initial 30 minutes)

J0136

Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg
Injection, acetaminophen (b braun), not therapeutically equivalent to j0131, 10 mg

J0173

Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg
Injection, epinephrine (belcher), not therapeutically equivalent to j0171, 0.1 mg

J0689

Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg
Injection, cefazolin sodium (baxter), not therapeutically equivalent to j0690, 500 mg

J1643

Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units
Injection, heparin sodium (pfizer), not therapeutically equivalent to j1644, per 1000 units

J3371

Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg
Injection, vancomycin hcl (mylan), not therapeutically equivalent to j3370, 500 mg

13474

Member for

7 years 8 months
Submitted by Site Factory admin on
Empastes de resina compuesta de una sola superficie en dientes posteriores para premolares y molares (según la tabla de tolerancia dental del grupo). Un empaste para cada superficie dental cada 12 meses.