88174 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests Pap test, automated thin layer preparation; automated system Pap test, automated thin layer preparation; automated system
89230 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests Sweat collection Sweat collection
89260 Infertility Services Sperm isolation with semen analysis for fertilization or diagnosis Sperm isolation with semen analysis for fertilization or diagnosis
90378 Home Health Care Infertility Services Medical Care Outpatient Visits Prescription Drugs Respiratory syncytial virus antibody for injection into tissue or muscle Respiratory syncytial virus antibody for injection into tissue or muscle
90384 Maternity Services Rho(D) immune globulin (full dose) for injection into muscle Rho(D) immune globulin (full dose) for injection into muscle
90671 Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use Pneumococcal conjugate vaccine, 15 valent (PCV15), for intramuscular use