J0290 Home Health Care Medical Care Outpatient Visits Radiation Therapy and Chemotherapy AMPICILLIN 500 MG INJ AMPICILLIN 500 MG INJ
L3913 Durable Medical Equipment Prosthetic Devices Home Health Care HFO W/O JOINTS CF HFO W/O JOINTS CF
L3923 Durable Medical Equipment Prosthetic Devices HFO WITHOUT JOINTS PRE CST HFO WITHOUT JOINTS PRE CST
L3927 Durable Medical Equipment Prosthetic Devices Home Health Care FO PIP DIP NO JT SPR PRE OTS FO PIP DIP NO JT SPR PRE OTS
L3960 Durable Medical Equipment Prosthetic Devices SEWHO AIRPLAN DESIG ABDU POS SEWHO AIRPLAN DESIG ABDU POS
L3980 Durable Medical Equipment Prosthetic Devices UP EXT FX ORTHOS HUMERAL NOS UP EXT FX ORTHOS HUMERAL NOS
L3982 Durable Medical Equipment Prosthetic Devices UPPER EXT FX ORTHOSIS RAD/UL UPPER EXT FX ORTHOSIS RAD/UL
L3984 Durable Medical Equipment Prosthetic Devices UPPER EXT FX ORTHOSIS WRIST UPPER EXT FX ORTHOSIS WRIST
L3995 Durable Medical Equipment Prosthetic Devices SOCK FRACTURE OR EQUAL EACH SOCK FRACTURE OR EQUAL EACH