Specialty,E.I. Code,Service Type,Auth Type,Procedure Description,Service Duration,Service Setting,Service Location,CPT Code(s),Rate,RateStartDate,RateEndDate
Audiologist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,1/1/1996,12/30/1999
DME/Medical Supply Dealer,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Hearing Aid Dealer,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Neonatologist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Neurologist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,2/1/2006,12/30/1999
Nurse Practitioner,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Occupational Therapist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Ophthamologist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Optometrist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Pediatrician,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Physical Therapist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Speech Pathologist,X1000,Assistive Technology,Assistive Technology,Equipment,Unit,none,none,,$0.00 ,11/13/2003,12/30/1999
Audiologist,X1011,Audiology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92506,$15.81 ,11/13/2003,12/30/1999
Audiologist,X1012,Audiology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92506,$20.58 ,11/13/2003,12/30/1999
Audiologist,X1015,Audiology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Audiologist,X1016,Audiology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Audiologist,X1021,Audiology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92507,$14.86 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X1021,Audiology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92507,$14.86 ,11/13/2003,12/30/1999
Audiologist,X1022,Audiology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92507,$19.35 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X1022,Audiology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92507,$19.35 ,11/13/2003,12/30/1999
Audiologist,X1031,Audiology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X1031,Audiology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Audiologist,X1032,Audiology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X1032,Audiology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Communication Spec,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,7/6/2004,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,7/6/2004,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,11/13/2003,12/30/1999
Developmental/Educational Spec,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,11/13/2003,12/30/1999
Nurse Practitioner,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2011,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96111,$12.62 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Communication Spec,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Developmental/Educational Spec,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Nurse Practitioner,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2012,Developmental Ther.,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96111,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Communication Spec,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developmental/Educational Spec,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developm'tl/Educat'l Associate,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Nurse Practitioner,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
RNC (Registr'd Nurse Clinical),X2015,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Communication Spec,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Developmental/Educational Spec,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Developm'tl/Educat'l Associate,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Nurse Practitioner,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
RNC (Registr'd Nurse Clinical),X2016,Developmental Ther.,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Communication Spec,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,11/13/2003,12/30/1999
Developmental/Educational Spec,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,11/13/2003,12/30/1999
Developm'tl/Educat'l Associate,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$8.73 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$8.73 ,11/13/2003,12/30/1999
Nurse Practitioner,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2021,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.86 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Communication Spec,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,1/1/1996,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,10/1/2009,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,10/1/2009,12/30/1999
Developmental/Educational Spec,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,1/1/1996,12/30/1999
Developm'tl/Educat'l Associate,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$11.88 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$11.88 ,11/13/2003,12/30/1999
Nurse Practitioner,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,11/13/2003,12/30/1999
RN (Registered Nurse),X2022,Developmental Ther.,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Communication Spec,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Developmental/Educational Spec,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Nurse Practitioner,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,1/1/1996,12/30/1999
RN (Registered Nurse),X2031,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Behavioral Spec,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Communication Spec,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Developmental/Ed Spec-Hearing Impaired,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Developmental/Ed Spec-Vision Impaired,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Developmental/Educational Spec,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Nurse Practitioner,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X2032,Developmental Ther.,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
General Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
General Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$11.58 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$11.58 ,11/13/2003,12/30/1999
Neonatologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Neonatologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Neurologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Neurologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Nurse Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Nurse Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
Ophthamologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Ophthamologist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Pediatrician,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
Pediatrician,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Psychiatrist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,1/1/1996,12/30/1999
Psychiatrist,X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,1/1/1996,12/30/1999
RN (Registered Nurse),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$15.44 ,2/1/2006,12/30/1999
RN (Registered Nurse),X3021,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,11/13/2003,12/30/1999
Gen Internist (w/o subspec'ty),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
General Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,11/13/2003,12/30/1999
General Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$15.35 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$15.35 ,2/1/2006,12/30/1999
Neonatologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,11/13/2003,12/30/1999
Neonatologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Neurologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,11/13/2003,12/30/1999
Neurologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Nurse Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Nurse Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
Ophthamologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,11/13/2003,12/30/1999
Ophthamologist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Pediatrician,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Pediatrician,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
Psychiatrist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
Psychiatrist,X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
RN (Registered Nurse),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$20.06 ,2/1/2006,12/30/1999
RN (Registered Nurse),X3022,Health Services,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Gen Internist (w/ subspec'ty),X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Gen Internist (w/o subspec'ty),X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
General Practitioner,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Neonatologist,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Neurologist,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Nurse Practitioner,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Ophthamologist,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Pediatrician,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Psychiatrist,X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
RN (Registered Nurse),X3031,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
General Practitioner,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Neonatologist,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Neurologist,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Nurse Practitioner,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Ophthamologist,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Pediatrician,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Psychiatrist,X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X3032,Health Services,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,11/13/2003,12/30/1999
Gen Internist (w/o subspec'ty),X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,11/13/2003,12/30/1999
General Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
General Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
General Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Neonatologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Neonatologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Neonatologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Neurologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Neurologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Neurologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,1/1/1996,12/30/1999
Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Ophthamologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,11/13/2003,12/30/1999
Ophthamologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Ophthamologist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Pediatrician,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,2/1/2006,12/30/1999
Pediatrician,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,1/1/1996,12/30/1999
Pediatrician,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,2/1/2006,12/30/1999
Psychiatrist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99205,$63.87 ,11/13/2003,12/30/1999
Psychiatrist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99215,$63.87 ,2/1/2006,12/30/1999
Psychiatrist,X3501,Medical,Eval/Assessment,Assessment/Evaluation,Episode,Individual,on-site,99244,$63.87 ,11/13/2003,12/30/1999
Gen Internist (w/ subspec'ty),X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Gen Internist (w/o subspec'ty),X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
General Practitioner,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Neonatologist,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Neurologist,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Nurse Practitioner,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Ophthamologist,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,1/1/1996,12/30/1999
Pediatric Nurse Practitioner,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Pediatrician,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Psychiatrist,X3541,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Gen Internist (w/ subspec'ty),X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Gen Internist (w/o subspec'ty),X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
General Practitioner,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Neonatologist,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Neurologist,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Nurse Practitioner,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Ophthamologist,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Pediatrician,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Psychiatrist,X3542,Medical,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$16.43 ,2/1/2006,12/30/1999
Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$16.43 ,2/1/2006,12/30/1999
Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$16.43 ,2/1/2006,12/30/1999
Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99392,$16.43 ,2/1/2006,12/30/1999
Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,T1001,$16.43 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$16.43 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$16.43 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$16.43 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99392,$16.43 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,T1001,$16.43 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$16.43 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$16.43 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$16.43 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99392,$16.43 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4011,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,T1001,$16.43 ,11/13/2003,12/30/1999
Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$21.34 ,2/1/2006,12/30/1999
Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$21.34 ,2/1/2006,12/30/1999
Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$21.34 ,2/1/2006,12/30/1999
Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$21.34 ,2/1/2006,12/30/1999
Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,T1001,$21.34 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$21.34 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$21.34 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$21.34 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$21.34 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,T1001,$21.34 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$21.34 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$21.34 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$21.34 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$21.34 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4012,Nursing,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,T1001,$21.34 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4015,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Nurse Practitioner,X4015,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4015,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4015,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4016,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Nurse Practitioner,X4016,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4016,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4016,Nursing,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99381,$11.58 ,1/1/1996,12/30/1999
LPN (Licensed Practical Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99382,$11.58 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$11.58 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1002,$11.58 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1003,$11.58 ,2/1/2006,12/30/1999
Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99381,$15.44 ,2/1/2006,12/30/1999
Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99382,$15.44 ,11/13/2003,12/30/1999
Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1002,$15.44 ,11/13/2003,12/30/1999
Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1003,$15.44 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99381,$15.44 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99382,$15.44 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1002,$15.44 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1003,$15.44 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99381,$15.44 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99382,$15.44 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99600,$15.44 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1002,$15.44 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4021,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,on-site,T1003,$15.44 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99381,$15.35 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99382,$15.35 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$15.35 ,2/1/2006,12/30/1999
LPN (Licensed Practical Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1002,$15.35 ,11/13/2003,12/30/1999
LPN (Licensed Practical Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1003,$15.35 ,11/13/2003,12/30/1999
Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99381,$20.06 ,2/1/2006,12/30/1999
Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99382,$20.06 ,2/1/2006,12/30/1999
Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,2/1/2006,12/30/1999
Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1002,$20.06 ,11/13/2003,12/30/1999
Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1003,$20.06 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99381,$20.06 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99382,$20.06 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1002,$20.06 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1003,$20.06 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99381,$20.06 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99382,$20.06 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99600,$20.06 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1002,$20.06 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4022,Nursing,Service,Direct Child Treatment,1/4 hour,Individual,off-site,T1003,$20.06 ,11/13/2003,12/30/1999
Nurse Practitioner,X4031,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X4031,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
RN (Registered Nurse),X4031,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Nurse Practitioner,X4032,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X4032,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
RN (Registered Nurse),X4032,Nursing,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,1/1/1996,12/30/1999
General Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,2/1/2006,12/30/1999
General Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,11/13/2003,12/30/1999
General Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,2/1/2006,12/30/1999
General Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,11/13/2003,12/30/1999
Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,11/13/2003,12/30/1999
Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,11/13/2003,12/30/1999
Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,2/1/2006,12/30/1999
Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,11/13/2003,12/30/1999
Pediatrician,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,11/13/2003,12/30/1999
Pediatrician,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,11/13/2003,12/30/1999
Pediatrician,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,11/13/2003,12/30/1999
Pediatrician,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,11/13/2003,12/30/1999
Registered Dietitian,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,11/13/2003,12/30/1999
Registered Dietitian,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,11/13/2003,12/30/1999
Registered Dietitian,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,11/13/2003,12/30/1999
Registered Dietitian,X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,2/1/2006,12/30/1999
RN (Registered Nurse),X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97802,$14.78 ,2/1/2006,12/30/1999
RN (Registered Nurse),X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99381,$14.78 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99382,$14.78 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5011,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,99391,$14.78 ,1/1/1996,12/30/1999
General Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
General Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
General Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
General Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,11/13/2003,12/30/1999
General Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,11/13/2003,12/30/1999
Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,2/1/2006,12/30/1999
Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,2/1/2006,12/30/1999
Pediatric Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,11/13/2003,12/30/1999
Pediatric Nurse Practitioner,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,1/1/1996,12/30/1999
Pediatrician,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
Pediatrician,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
Pediatrician,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
Pediatrician,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,11/13/2003,12/30/1999
Pediatrician,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,11/13/2003,12/30/1999
Registered Dietitian,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
Registered Dietitian,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
Registered Dietitian,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
Registered Dietitian,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,2/1/2006,12/30/1999
Registered Dietitian,X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,2/1/2006,12/30/1999
RN (Registered Nurse),X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97802,$19.33 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99381,$19.33 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99382,$19.33 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99391,$19.33 ,11/13/2003,12/30/1999
RN (Registered Nurse),X5012,Nutrition,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,99392,$19.33 ,11/13/2003,12/30/1999
Registered Dietitian,X5015,Nutrition,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Registered Dietitian,X5016,Nutrition,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,1/1/1996,12/30/1999
Registered Dietitian,X5021,Nutrition,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97803,$13.89 ,1/1/1996,12/30/1999
Registered Dietitian,X5022,Nutrition,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97803,$18.17 ,2/1/2006,12/30/1999
Registered Dietitian,X5031,Nutrition,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Registered Dietitian,X5032,Nutrition,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Occupational Therapist,X6011,Occupational Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97003,$17.81 ,11/13/2003,12/30/1999
Occupational Therapist,X6012,Occupational Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,97003,$23.02 ,2/1/2006,12/30/1999
Occupational Therapist,X6015,Occupational Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6015,Occupational Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Occupational Therapist,X6016,Occupational Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6016,Occupational Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,95851,$16.74 ,11/13/2003,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97530,$16.74 ,2/1/2006,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97532,$16.74 ,2/1/2006,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97533,$16.74 ,2/1/2006,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97535,$16.74 ,2/1/2006,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97542,$16.74 ,2/1/2006,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97760,$16.74 ,11/13/2003,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97761,$16.74 ,11/13/2003,12/30/1999
Occupational Therapist,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97762,$16.74 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,95851,$11.72 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97530,$11.72 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97532,$11.72 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97533,$11.72 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97535,$11.72 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97542,$11.72 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97760,$11.72 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97761,$11.72 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6021,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97762,$11.72 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,95851,$21.64 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97530,$21.64 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97532,$21.64 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97533,$21.64 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97535,$21.64 ,11/13/2003,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97542,$21.64 ,2/1/2006,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97760,$21.64 ,11/13/2003,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97761,$21.64 ,11/13/2003,12/30/1999
Occupational Therapist,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97762,$21.64 ,11/13/2003,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,95851,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97530,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97532,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97533,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97535,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97542,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97760,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97761,$15.52 ,2/1/2006,12/30/1999
Occupational Therapy Assistant,X6022,Occupational Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97762,$15.52 ,2/1/2006,12/30/1999
Occupational Therapist,X6031,Occupational Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Occupational Therapist,X6032,Occupational Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Psychologist,X6511,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,90801,$25.76 ,2/1/2006,12/30/1999
Psychologist,X6511,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,90802,$25.76 ,2/1/2006,12/30/1999
Psychologist,X6511,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96101,$25.76 ,2/1/2006,12/30/1999
Psychologist,X6511,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96150,$25.76 ,11/13/2003,12/30/1999
Psychologist,X6512,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,90801,$32.71 ,2/1/2006,12/30/1999
Psychologist,X6512,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,90802,$32.71 ,2/1/2006,12/30/1999
Psychologist,X6512,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96101,$32.71 ,2/1/2006,12/30/1999
Psychologist,X6512,Psychology,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96150,$32.71 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6515,Psychology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Psychologist,X6515,Psychology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6516,Psychology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Psychologist,X6516,Psychology,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90804,$24.21 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90806,$24.21 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90808,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90810,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90812,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90814,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90846,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90847,$24.21 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$24.21 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99510,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90804,$24.21 ,11/13/2003,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90806,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90808,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90810,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90812,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90814,$24.21 ,1/1/1996,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90846,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,90847,$24.21 ,11/13/2003,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,96152,$24.21 ,2/1/2006,12/30/1999
Psychologist,X6521,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,on-site,99510,$24.21 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90804,$30.75 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90806,$30.75 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90808,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90810,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90812,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90814,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90846,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90847,$30.75 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$30.75 ,2/1/2006,12/30/1999
Marriage & Family Therapist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99510,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90804,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90806,$30.75 ,11/13/2003,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90808,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90810,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90812,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90814,$30.75 ,2/1/2006,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90846,$30.75 ,11/13/2003,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,90847,$30.75 ,11/13/2003,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,96152,$30.75 ,11/13/2003,12/30/1999
Psychologist,X6522,Psychology,Service,Direct Child Treatment,1/4 hour,Individual,off-site,99510,$30.75 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6531,Psychology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Psychologist,X6531,Psychology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Marriage & Family Therapist,X6532,Psychology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Psychologist,X6532,Psychology,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Physical Therapist,X7011,Physical Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,97001,$18.56 ,1/1/1996,12/30/1999
Physical Therapist,X7012,Physical Therapy,Eval/Assessment,Assessment/Evaluation,Unit,Individual,off-site,97001,$23.94 ,11/13/2003,12/30/1999
Physical Therapist,X7015,Physical Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7015,Physical Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Physical Therapist,X7016,Physical Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7016,Physical Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97110,$17.45 ,11/13/2003,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97112,$17.45 ,11/13/2003,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97116,$17.45 ,2/1/2006,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97530,$17.45 ,11/13/2003,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97542,$17.45 ,2/1/2006,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97760,$17.45 ,2/1/2006,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97761,$17.45 ,2/1/2006,12/30/1999
Physical Therapist,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97762,$17.45 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97110,$12.21 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97112,$12.21 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97116,$12.21 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97530,$12.21 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97542,$12.21 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97760,$12.21 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97761,$12.21 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7021,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,97762,$12.21 ,11/13/2003,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97110,$22.50 ,11/13/2003,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97112,$22.50 ,2/1/2006,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97116,$22.50 ,2/1/2006,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97530,$22.50 ,11/13/2003,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97542,$22.50 ,11/13/2003,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97760,$22.50 ,11/13/2003,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97761,$22.50 ,2/1/2006,12/30/1999
Physical Therapist,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97762,$22.50 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97110,$16.12 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97112,$16.12 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97116,$16.12 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97530,$16.12 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97542,$16.12 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97760,$16.12 ,11/13/2003,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97761,$16.12 ,2/1/2006,12/30/1999
Physical Therapist Assistant,X7022,Physical Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,97762,$16.12 ,11/13/2003,12/30/1999
Physical Therapist,X7031,Physical Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Physical Therapist,X7032,Physical Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7511,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,90801,$10.79 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7511,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96150,$10.79 ,2/1/2006,12/30/1999
MSW (Cert Clinical Soc Worker),X7511,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,90801,$10.79 ,11/13/2003,12/30/1999
MSW (Cert Clinical Soc Worker),X7511,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96150,$10.79 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7512,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,90801,$14.47 ,11/13/2003,12/30/1999
Licensed Clinical Social Worker,X7512,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96150,$14.47 ,11/13/2003,12/30/1999
MSW (Cert Clinical Soc Worker),X7512,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,90801,$14.47 ,11/13/2003,12/30/1999
MSW (Cert Clinical Soc Worker),X7512,Social Work,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96150,$14.47 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7515,Social Work,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
MSW (Cert Clinical Soc Worker),X7515,Social Work,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7516,Social Work,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
MSW (Cert Clinical Soc Worker),X7516,Social Work,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7521,Social Work,Service,Direct Child Treatment,1/4 hour,Individual,on-site,H0004,$10.14 ,11/13/2003,12/30/1999
MSW (Cert Clinical Soc Worker),X7521,Social Work,Service,Direct Child Treatment,1/4 hour,Individual,on-site,H0004,$10.14 ,11/13/2003,12/30/1999
Licensed Clinical Social Worker,X7522,Social Work,Service,Direct Child Treatment,1/4 hour,Individual,off-site,H0004,$13.60 ,2/1/2006,12/30/1999
MSW (Cert Clinical Soc Worker),X7522,Social Work,Service,Direct Child Treatment,1/4 hour,Individual,off-site,H0004,$13.60 ,2/1/2006,12/30/1999
Licensed Clinical Social Worker,X7531,Social Work,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
MSW (Cert Clinical Soc Worker),X7531,Social Work,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Licensed Clinical Social Worker,X7532,Social Work,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
MSW (Cert Clinical Soc Worker),X7532,Social Work,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92506,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92597,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92605,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92607,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92608,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92610,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8011,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,96105,$15.81 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92506,$20.58 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92597,$20.58 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92605,$20.58 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92607,$20.58 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92608,$20.58 ,2/1/2006,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92610,$20.58 ,11/13/2003,12/30/1999
Speech Pathologist,X8012,Speech Therapy,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,96105,$20.58 ,11/13/2003,12/30/1999
Speech Pathol/Audiologist Aide,X8015,Speech Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Speech Pathologist,X8015,Speech Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Speech Pathol/Audiologist Aide,X8016,Speech Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Speech Pathologist,X8016,Speech Therapy,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Speech Pathol/Audiologist Aide,X8021,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92507,$10.40 ,11/13/2003,12/30/1999
Speech Pathol/Audiologist Aide,X8021,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92526,$10.40 ,11/13/2003,12/30/1999
Speech Pathologist,X8021,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92507,$14.86 ,2/1/2006,12/30/1999
Speech Pathologist,X8021,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92526,$14.86 ,11/13/2003,12/30/1999
Speech Pathol/Audiologist Aide,X8022,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92507,$13.91 ,11/13/2003,12/30/1999
Speech Pathol/Audiologist Aide,X8022,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92526,$13.91 ,11/13/2003,12/30/1999
Speech Pathologist,X8022,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92507,$19.35 ,11/13/2003,12/30/1999
Speech Pathologist,X8022,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92526,$19.35 ,2/1/2006,12/30/1999
Speech Pathologist,X8023,Speech Therapy,Service,Direct Child Treatment,1/4 hour,Group,none,92508,$5.18 ,2/1/2006,12/30/1999
Speech Pathologist,X8031,Speech Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Speech Pathologist,X8032,Speech Therapy,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,11/13/2003,12/30/1999
Common Carrier (Ambulatory),X8500,Transportation,Transportation,One Way Trip,per R/T,none,none,T2003,$8.75 ,2/1/2006,12/30/1999
Common Carrier (Ambulatory),X8510,Transportation,Transportation,Assessment/Evaluation One Way Trip,per R/T,none,none,T2003,$8.75 ,2/1/2006,12/30/1999
Family Member,X8600,Transportation,Transportation,Mileage,Mile,none,none,A0090,$0.40 ,2/1/2006,12/30/1999
Family Member,X8610,Transportation,Transportation,Assessment/Evaluation Mileage,Mile,none,none,A0090,$0.40 ,2/1/2006,12/30/1999
Ophthamologist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92002,$18.56 ,2/1/2006,12/30/1999
Ophthamologist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92004,$18.56 ,2/1/2006,12/30/1999
Ophthamologist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92012,$18.56 ,11/13/2003,12/30/1999
Ophthamologist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92014,$18.56 ,11/13/2003,12/30/1999
Optometrist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92002,$18.56 ,11/13/2003,12/30/1999
Optometrist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92004,$18.56 ,11/13/2003,12/30/1999
Optometrist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92012,$18.56 ,11/13/2003,12/30/1999
Optometrist,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92014,$18.56 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92002,$18.56 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92004,$18.56 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92012,$18.56 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92014,$18.56 ,11/13/2003,12/30/1999
Pediatrician,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92002,$18.56 ,11/13/2003,12/30/1999
Pediatrician,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92004,$18.56 ,11/13/2003,12/30/1999
Pediatrician,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92012,$18.56 ,2/1/2006,12/30/1999
Pediatrician,X9011,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,on-site,92014,$18.56 ,11/13/2003,12/30/1999
Ophthamologist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92002,$23.94 ,2/1/2006,12/30/1999
Ophthamologist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92004,$23.94 ,11/13/2003,12/30/1999
Ophthamologist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92012,$23.94 ,11/13/2003,12/30/1999
Ophthamologist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92014,$23.94 ,11/13/2003,12/30/1999
Optometrist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92002,$23.94 ,2/1/2006,12/30/1999
Optometrist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92004,$23.94 ,2/1/2006,12/30/1999
Optometrist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92012,$23.94 ,2/1/2006,12/30/1999
Optometrist,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92014,$23.94 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92002,$23.94 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92004,$23.94 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92012,$23.94 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92014,$23.94 ,2/1/2006,12/30/1999
Pediatrician,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92002,$23.94 ,2/1/2006,12/30/1999
Pediatrician,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92004,$23.94 ,11/13/2003,12/30/1999
Pediatrician,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92012,$23.94 ,2/1/2006,12/30/1999
Pediatrician,X9012,Vision,Eval/Assessment,Assessment/Evaluation,1/4 hour,Individual,off-site,92014,$23.94 ,2/1/2006,12/30/1999
Ophthamologist,X9015,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Optometrist,X9015,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9015,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,2/1/2006,12/30/1999
Vision Specialist,X9015,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,on-site,T1023,$12.62 ,11/13/2003,12/30/1999
Ophthamologist,X9016,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,11/13/2003,12/30/1999
Optometrist,X9016,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9016,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Vision Specialist,X9016,Vision,Eval/Assessment,IFSP Team Meeting,1/4 hour,Individual,off-site,T1023,$16.69 ,2/1/2006,12/30/1999
Ophthamologist,X9021,Vision,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92065,$17.45 ,11/13/2003,12/30/1999
Optometrist,X9021,Vision,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92065,$17.45 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X9021,Vision,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92065,$17.45 ,11/13/2003,12/30/1999
Vision Specialist,X9021,Vision,Service,Direct Child Treatment,1/4 hour,Individual,on-site,92065,$17.45 ,11/13/2003,12/30/1999
Ophthamologist,X9022,Vision,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92065,$22.50 ,11/13/2003,12/30/1999
Optometrist,X9022,Vision,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92065,$22.50 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9022,Vision,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92065,$22.50 ,2/1/2006,12/30/1999
Vision Specialist,X9022,Vision,Service,Direct Child Treatment,1/4 hour,Individual,off-site,92065,$22.50 ,2/1/2006,12/30/1999
Optometrist,X9031,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,11/13/2003,12/30/1999
Orientation/Mobility Spec'st,X9031,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Vision Specialist,X9031,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,on-site,T1027,$11.86 ,2/1/2006,12/30/1999
Optometrist,X9032,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Orientation/Mobility Spec'st,X9032,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Vision Specialist,X9032,Vision,Service,"Family Trng., Couns. & Home Visits",1/4 hour,Individual,off-site,T1027,$15.69 ,2/1/2006,12/30/1999
Interpreter - Associate,X9911,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,on-site,T1013,$9.29 ,2/1/2006,12/30/1999
Interpreter - Specialist,X9911,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,on-site,T1013,$11.86 ,2/1/2006,12/30/1999
Other Prior Approved Services,X9911,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,on-site,T1013,$9.29 ,2/1/2006,12/30/1999
Interpreter - Associate,X9912,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,off-site,T1013,$12.64 ,11/13/2003,12/30/1999
Interpreter - Specialist,X9912,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,off-site,T1013,$15.69 ,11/13/2003,12/30/1999
Other Prior Approved Services,X9912,Interpreter Services,Eval/Assessment,Intake Activity,1/4 hour,Individual,off-site,T1013,$12.64 ,11/13/2003,12/30/1999
Interpreter,X9999,Other Related Svc.,Other Services,Special Processing required,none,none,none,,$0.00 ,11/13/2003,12/30/1999
Other Prior Approved Services,X9999,Other Related Svc.,Other Services,Special Processing required,none,none,none,,$0.00 ,1/1/1996,12/30/1999
Audiologist,Z1000,Audiology,Eval/Assessment,Comprehensive audiometry threshold evaluation and speech recognition/discrimination,Episode,Individual,on-site,92557,$31.44 ,11/13/2003,12/30/1999
Audiologist,Z1001,Audiology,Eval/Assessment,Hearing Aid Evaluation/examination and selection; monaural,Episode,Individual,on-site,92590,$38.89 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1001,Audiology,Eval/Assessment,Hearing Aid Evaluation/examination and selection; monaural,Episode,Individual,on-site,92590,$38.89 ,11/13/2003,12/30/1999
Audiologist,Z1002,Audiology,Eval/Assessment,Hearing Aid Evaluation/examination and selection; binaural,Episode,Individual,on-site,92591,$45.56 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1002,Audiology,Eval/Assessment,Hearing Aid Evaluation/examination and selection; binaural,Episode,Individual,on-site,92591,$45.56 ,11/13/2003,12/30/1999
Audiologist,Z1003,Audiology,Eval/Assessment,Electroacoustic Evaluation for hearing aid; monaural,Episode,Individual,on-site,92594,$5.00 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1003,Audiology,Eval/Assessment,Electroacoustic Evaluation for hearing aid; monaural,Episode,Individual,on-site,92594,$5.00 ,11/13/2003,12/30/1999
Audiologist,Z1004,Audiology,Eval/Assessment,Electroacoustic Evaluation for hearing aid; binaural,Episode,Individual,on-site,92595,$78.50 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1004,Audiology,Eval/Assessment,Electroacoustic Evaluation for hearing aid; binaural,Episode,Individual,on-site,92595,$78.50 ,11/13/2003,12/30/1999
Audiologist,Z1005,Audiology,Eval/Assessment,Pure tone audiometry (threshold); air only,Episode,Individual,on-site,92552,$11.47 ,11/13/2003,12/30/1999
Audiologist,Z1006,Audiology,Eval/Assessment,Pure tone audiometry (threshold); air & bone,Episode,Individual,on-site,92553,$17.60 ,11/13/2003,12/30/1999
Audiologist,Z1007,Audiology,Eval/Assessment,SRT or SDT: Speech Audiometry Threshold,Episode,Individual,on-site,92555,$9.91 ,11/13/2003,12/30/1999
Audiologist,Z1008,Audiology,Eval/Assessment,Tympanometry (impedance testing),Episode,Individual,on-site,92567,$14.09 ,11/13/2003,12/30/1999
Audiologist,Z1009,Audiology,Eval/Assessment,Acoustic reflex testing,Episode,Individual,on-site,92568,$18.90 ,11/13/2003,12/30/1999
Audiologist,Z1010,Audiology,Eval/Assessment,Visual Reinforcement Audiometry (VRA),Episode,Individual,on-site,92579,$18.90 ,2/1/2006,12/30/1999
Audiologist,Z1011,Audiology,Eval/Assessment,Conditioning Play Audiometry,Episode,Individual,on-site,92582,$19.16 ,2/1/2006,12/30/1999
Audiologist,Z1012,Audiology,Eval/Assessment,Select Picture Audiometry,Episode,Individual,on-site,92583,$23.60 ,11/13/2003,12/30/1999
Audiologist,Z1013,Audiology,Eval/Assessment,ABR: Audiometry evoked potential for evoked response audiometry,Episode,Individual,on-site,92585,$104.06 ,11/13/2003,12/30/1999
Audiologist,Z1014,Audiology,Eval/Assessment,Automated ABR: Automated Audiometry evoked potential for evoked response audiometry,Episode,Individual,on-site,92585,$104.06 ,11/13/2003,12/30/1999
Audiologist,Z1015,Audiology,Eval/Assessment,OAE limited: Evoked otoacoustic emissions,Episode,Individual,on-site,92587,$40.52 ,11/13/2003,12/30/1999
Audiologist,Z1016,Audiology,Service,Individual treatment  of auditory processing disorder(aural rehabilitation),Episode,Individual,on-site,92507,$95.40 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1016,Audiology,Service,Individual treatment  of auditory processing disorder(aural rehabilitation),Episode,Individual,on-site,92507,$95.40 ,11/13/2003,12/30/1999
Audiologist,Z1017,Audiology,Eval/Assessment,Hearing aid check; monaural,Episode,Individual,on-site,92592,$35.33 ,11/13/2003,12/30/1999
Otologist/Laryngologist/Rhinol,Z1017,Audiology,Eval/Assessment,Hearing aid check; monaural,Episode,Individual,on-site,92592,$35.33 ,2/1/2006,12/30/1999
Audiologist,Z1018,Audiology,Eval/Assessment,Hearing aid check; binaural,Episode,Individual,on-site,92593,$40.00 ,2/1/2006,12/30/1999
Otologist/Laryngologist/Rhinol,Z1018,Audiology,Eval/Assessment,Hearing aid check; binaural,Episode,Individual,on-site,92593,$40.00 ,11/13/2003,12/30/1999
Audiologist,Z1019,Audiology,Eval/Assessment,OAE Complete: Comprehensive or Diagnostic Evaluation,Episode,Individual,on-site,92588,$56.47 ,11/13/2003,12/30/1999
Audiologist,Z1020,Audiology,Eval/Assessment,Hearing aid - monaural digital behind the ear (BTE),Episode,Individual,on-site,V5257,$900.00 ,11/13/2003,12/30/1999
Audiologist,Z1021,Audiology,Eval/Assessment,Hearing aid - binaural digital behind the ear (BTE),Episode,Individual,on-site,V5261,$900.00 ,11/13/2003,12/30/1999

(661 row(s) affected),,,,,,,,,,,