93321 One unit of time

90000

GENERAL SERVICES

93000

PROFESSIONAL CONSULTATIONS

93300

CLAIM FORMS AND TREATMENT FORMS

93320

For Extraordinary office Time Spent, In Forwarding Predetermination Records, In Predeterminations
Situations, To Third Parties Plus Expenses (i.e. registration, postage, etc.)

93321 One unit of time $23.32
+Material Expenses
$23.32
+Mater. Exp.
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