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G0506

Emergency Medical Outpatient Services
Labs, X-Rays and Other Tests
Preventive Dental Care for Children
Maternity Services
Medical Care Outpatient Visits
Mental Health and Substance Use Treatment - Biologically Based Mental Conditions
Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions
Mental Health and Substance Use Treatment - Alcoholism Treatment
Routine Vision Care
Short-Term Rehabilitation Therapy
TMJ Disorder Treatment
COMP ASSES CARE PLAN CCM SVC
COMP ASSES CARE PLAN CCM SVC

G2214

Emergency Medical Outpatient Services
Labs, X-Rays and Other Tests
Preventive Dental Care for Children
Maternity Services
Medical Care Outpatient Visits
Mental Health and Substance Use Treatment - Biologically Based Mental Conditions
Mental Health and Substance Use Treatment - Non-Biologically Based Mental Conditions
Mental Health and Substance Use Treatment - Alcoholism Treatment
Routine Vision Care
Short-Term Rehabilitation Therapy
TMJ Disorder Treatment
INIT/SUB PSYCH CARE M 1ST 30
INIT/SUB PSYCH CARE M 1ST 30