93322 Two units
| 90000 | GENERAL SERVICES |
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| 93000 | PROFESSIONAL CONSULTATIONS |
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| 93300 | CLAIM FORMS AND TREATMENT FORMS |
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| 93320 | For Extraordinary office Time Spent, In Forwarding Predetermination Records, In Predeterminations |
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| 93322 | Two units |
$46.64
+Material Expenses |
$46.64
+Mater. Exp. |