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Plan Free-text
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Labs
• • •
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Lab Comments
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Referrals
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Referral Comments
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New Patient - Level 5
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EST - Level 5
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New Patient - Level 4
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EST - Level 4
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New Patient - Level 3
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EST - Level 3
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EST - Level 2
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Standardized Screen - 96127
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Family Psychotherapy (Without the Patient Present) - 90846
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Family Psychotherapy (With Patient Present) - 90847
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60 Min Psychotherapy no E/M - 90837
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60 Min Psychotherapy + E/M - 90838
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New Level 5 - $350
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EST Level 4 - $190
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New Level 4 - $275
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EST Level 3 - $125
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New (Discount) - $200
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EST (Discount) - $100
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+ Changes - NEW - 90792
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+ Changes - Subsequent - 99232
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+ Changes - Subsequent - 99231
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