91233 Three units
| 90000 | GENERAL SERVICES |
||
| 91000 | UNCLASSIFIED TREATMENTS |
||
| 91200 | UNCLASSIFIED TREATMENT, UNUSUAL TIME AND RESPONSIBILITIES (Note: If the service affected is |
||
| 91230 | Management of Exceptional Patient |
||
| 91233 | Three units | $374.97 | $374.97 |