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UNITED HEALTHCARE <br />WASHINGTON MEDICAID AND WASHINGTON BENEFIT PLANS FOR THE UNINSUREn BEHAVIORAL HEALTH PROFESSIONAL REIMBURSEMENT SCHEDULE <br />qqw dr mimnO <br />9929E <br />ew pdkntuurpa[mtuisiL tMal lime 1529 minute <br />2199410P <br />3555 <br />Nor Aked <br />Ibt Ametl <br />33.55 <br />99}02 <br />TG <br />New pakmmtWtkn[rhit,ioralnme l5-29 mmutn <br />620AP <br />83,4I <br />Nor Pied <br />Nor P-d <br />P34S <br />9920E <br />!G <br />NcwpalkntputW[kn[ visit. ttal time 15-29 .mule <br />aID(9p <br />ed92 <br />Ner piked <br />Npl Pried <br />el r, <br />xi <br />Naw pH'enleu[par'mnl orate, Iola, t-l5-}9minure <br />llA99Ap <br />-2 <br />No Priwd <br />Mer Mked <br />axu2 <br />92 <br />p m W Ins t,tutalfime l529mmdn <br />L999l9P <br />83A2 <br />Nol Prkctl <br />rmt Mnavl <br />83,41 <br />M!M <br />Newtleent¢utpalwr+l uen, coral tim.lo-aA mne[n <br />0.1a(10 <br />>t9 <br />Nel tlrk.y <br />Net Mked <br />rye <br />3 <br />=w pyiw nwrytind saM1 lwlriar Hell mimrtn <br />4u/. <br />19111 <br />N¢I Mced <br />Nelprked <br />191.n <br />99ZW <br />tw pmirn nmrytkN vkit knM rmc ASH mMu[w <br />a29fIP <br />54.19 <br />Met Nued <br />Not PrkN <br />9q i9 <br />M201 <br />\'m'P9ia eup+tine ui.il m�llorw?la•JJ nikrwo <br />PZ9)9p <br />-1 <br />Mel Mked <br />N¢r Prketl <br />1G_Sl <br />S <br />\'rnpmi. omW[em .ad luWltirre =lsu mmutm <br />0W9 AT21P <br />g1.45 <br />Not Im II <br />Nor Piked <br />g1.95 <br />5 <br />p nr W enruaLSMaltme30-14 mnnre <br />aM9M.1 <br />-11 <br />Not Ilk. <br />Nor AeN <br />S1L9g <br />3 <br />wn+tmnr W .rum[, lomlumem49 mmvrn <br />219 11P <br />36R2 <br />Nt Prkpd <br />NM ACN <br />IS.gE <br />99N]l <br />llew ParmM cetpakenl.tuL mmlFme l9-14 mkwtn <br />11-9m?op <br />5i.36 <br />NM PekN <br />N¢t P- <br />S1.36 <br />99201 <br />SG <br />l2cw parkpt ou[Wrimt <br />Nul Piked <br />M19s <br />pe <br />p ea wlimlv2pt. [oral time ip46 minpra <br />o-19(OP <br />124.ri <br />Net Aked <br />Nel PrkN <br />130.T3 <br />95 <br />wpatmnl oulWbenr wul, melume 30�l9 mrnMn <br />21 99911P <br />IM.73 <br />Nor PakM <br />emt Reed <br />124.]3 <br />991W <br />i4 <br />New palm�l eelWNee[wil, 1¢mlbme 3NJ4 minutes <br />}1-9991PP <br />124,i1 <br />Net Rked <br />Nat Mked <br />124.]3 <br />MZW <br />New patentoutWuent y L[¢ml-4S59minute <br />0]pIIP <br />I]?94 <br />Not Pitied <br />Not Paretl <br />11?O6 <br />99ItN <br />N=wP+bet enpNkt.:pl. matbmcg5-59 mieuxn <br />alef9v <br />351.35 <br />nM Pied <br />Not prkN <br />m1.35 <br />W <br />W ni p enr,-..L mmldmedi59 minutn <br />12MP <br />eels <br />Not NkM <br />N.[Preed <br />..M <br />M <br />W Mou�aHenr vi+L mW Nme4559 minNtn <br />0W.P <br />.4. <br />Not MkM <br />Nut Rrted <br />114.9E <br />5910i <br />New Wtkni ou[Wilenr ddt mW tlme 4159 m+ntn <br />9M6T/lp <br />31Pa9 <br />Mel MFem <br />NM Piked <br />15218 <br />99204 <br />New Wtknt otpatient sidr. rural bme 4559 m1nu[n <br />9M4T711P <br />]69,96 <br />Nor Pied <br />IMt MkM <br />1dAM <br />M <br />p tit ou[pa[ienS WiL mralNme65-59 minu[n <br />ZIAMlIp <br />SA91 <br />Net lrced <br />Not Meed <br />59g1 <br />w valmnt p tint nul mrareme4559 mmMn <br />Z1A99/GP <br />19.75 <br />Not P- <br />Nor Pncetl <br />M.➢5 <br />M <br />p tit p tint wv4 mralNme45 s9 mmWn <br />620AP <br />1]GM <br />Not PrkM <br />Xur 1- <br />1]6M <br />M1M <br />TG <br />New patent outpatient vWr,md time R559 mintn <br />0.M1OP <br />1]fi99 <br />Nul Piked <br />Nor Piked <br />]]fiM <br />M104 <br />TG <br />New patient outpatient Nsir, mraldme4559 mfno[n <br />ll-9991rP <br />]]fi99 <br />Not Rked <br />Not Piked <br />1]699 <br />992GR <br />p tit pueetndl rel.a dmedS59 m'melei <br />e999/0P <br />l]6.99 <br />Nutp.ked <br />Nee Piked <br />1Yb99 <br />OS <br />p et p tint nut, m+al tlme Ftr]4 mmuln <br />-Ap <br />L59.3 <br />lmrPaked <br />Met Rued <br />L59.3 <br />9a2p5 <br />New oaf:et ¢Mpmrnt.:ul, l¢a+l tlme GR]a mnrMe. <br />P18(OP <br />I99.IS <br />Nor PriN <br />xat Mkoa <br />199-IS <br />99205 <br />Nrw Patknl of➢aticnt wsir,.Sal rime C4. 14 mien. <br />.,Wlp <br />Ix0.i3 <br />Nor Pitied <br />NotpriM <br />Ix0.23 <br />s <br />New paeknleubadrnl Wn, reW tlme so- a+m�rrrrtn <br />o-2WaP <br />Iso.2e <br />NM Pied <br />Net piked <br />5 <br />p ul p eel enr, rnlalNnm 60.]J mnMs <br />6M9MAIAv <br />MI. <br />Nd Piked <br />Nut Prnea <br />IBAR9 <br />M105 <br />Newp+rentaulpanem molt, motor, rkw aG}d motile <br />6M9MPTmp <br />}S2.]3 <br />No[Prked <br />Nt Piked <br />}32.T1 <br />M205 <br />Mew patien[ourpatlmt avlr, meal dme fAT9 mkutn <br />>1-9ggflP <br />E1.45 <br />Net AkN <br />Not Piked <br />ouba[iet W iL rural tlme PR-]'J mnu[es <br />u99fop <br />SOLI <br />MN15 <br />New pa[knt ourpatlent Wlr, total tlme 9P]4 mkutn <br />o-}91tP <br />21i4i <br />Nor PrkN <br />k¢r MkeJ <br />I oubatient wsir, roi+I rime 60-]J minMes <br />o-F9(9P <br />tNked <br />Mk4d <br />]ZifiS <br />ao-lJ mierrtn <br />219M(IP <br />-AP <br />Eambl.dredpatirnteulWlienl-k mkrm+lprneneng vroblem <br />-AP <br />NtIf-5. <br />ohlNfied➢aernen[vhiL mmimalmcscrvdng pmhlem <br />92W/ <br />P4. <br />fsmhlidrea patientoubaarneueit mMknal presenting problem <br />mn➢jlpPoredxp <br />pl- <br />mt¢nrpaeml evil mrnbndpre:mens wnbkm <br />-I.P <br />wet prodA <br />XINot <br />Rketl1?Pl <br />M211 <br />1G <br />Bahlidredpatienrourpadenevhi4 minim+l prnentln]{pr¢blem <br />o-2olOP <br />2]A] <br />Norflkcd <br />Net Mketl <br />]?91 <br />99211 <br />1L <br />C•WbuAedp+rirnleyrp+llrntvbn. mNknd prgcrvring problem <br />99911P <br />- <br />Hot Preto <br />Not Piked <br />4111/ <br />bird p deubaeen[vn�L mbrmal presenting <br />H 9931.1 <br />- <br />nor wmea <br />Net Prbrd <br />Z].91 <br />]2 <br />blu p mtouba[ienlueiL trial tMre SNl9 mimte <br />a1dAP <br />31.9E <br />NM <br />.1 piked <br />31.0} <br />l2 <br />Gmbli.lwd P+tmrloery+llmt.k�l,tMdlene ltrl9 mimin <br />61gA1P <br />5219 <br />Nt Prketl <br />Nul Pried <br />S},I9 <br />MZSS <br />Bahgµea p+renteurp4umevklL tt+l Wive lPl9 mirw[n <br />n20AP <br />23A5 <br />Nt Piked <br />Nei MI, d <br />11.45 <br />9921E <br />BIablNhcd Wrirnrouba[Irnlvhlt total dme ltrl9 miwtn <br />0.201d� <br />3gy9 <br />Ner Reed <br />Not Reed <br />39.39 <br />9921E <br />[sWhNµcd➢+rkel eelpaf lvkiL turd r4mc kP19 miwrn <br />9aMTlIP <br />35 ]I <br />Mt Reed <br />Not Print <br />35.11 <br />]] <br />bleb N teupremlueiL terd Wne SP]9 mimgn <br />MNTfHP <br />Sl.4l <br />Mot Meetl <br />Nor P+'mN <br />5].63 <br />12 <br />aLfiµ p tee¢atien[ visit coral time SO l9 mimate <br />iLM971n <br />ISJe <br />Nat vrcetl <br />Nor P- <br />F5.g8 <br />12 <br />E=Y6Nµed P+timteetp+tirnlv�l�. term lime 1a19 m]mtn <br />21-919f9P <br />2.1e <br />ma ptketl <br />enr Prmetl <br />2G_29 <br />99211 <br />IG <br />Fsahkstiedparknt¢u Wnmrukl5 cord xme lr}19 m1nNn <br />aM]IP <br />49.E <br />Notphed <br />Nut Pried <br />1+.. <br />9921E <br />TG <br />BablWedpadenroutpatienlvkit [oal dme Ftrl9 minurn <br />P10Y9P <br />41.3 <br />Not P-1 <br />Mtp- <br />q92 <br />M212 <br />TG <br />EsrabEMcd parknrwry+f rviair. [oral rime iPl9minute <br />]-mot, <br />491 <br />NMI,- <br />NoiPhed <br />q9,2 <br />99313 <br />1G <br />faablmhcd pMkeleub+IkM-lk cord pure lo-l9 minyln <br />999/9P <br />M.S <br />Nut Rkea <br />Not Piked <br />49,E <br />NmN p toubatimtveit tMar time 2a 29 minute <br />ple(In <br />s].95 <br />xat Area <br />Nox toed <br />5}.9l <br />fs]ad4µed p+tkntautp+tient veil [oral emo 2ax9 minute <br />0.1elOY <br />e2.91 <br />Nel Aced <br />Nol PrcN <br />U9T <br />99113 <br />EsahkslreJ Wtienr¢um+uentvkl5 eta, dme E0.Z9mkurn <br />920IIP <br />93.]2 <br />Ilor Pried <br />Nut Prcetl <br />6S]i <br />