C9046 Home Health Care Medical Care Outpatient Visits Prescription Drugs COCAINE HCL NASAL (GOPRELTO) COCAINE HCL NASAL (GOPRELTO)
E0100 Durable Medical Equipment Home Health Care CANE ADJUST/FIXED WITH TIP CANE ADJUST/FIXED WITH TIP
E0105 Durable Medical Equipment Home Health Care CANE ADJUST/FIXED QUAD/3 PRO CANE ADJUST/FIXED QUAD/3 PRO
E1352 Durable Medical Equipment Home Health Care O2 FLOW REG POS INSPIR PRESS O2 FLOW REG POS INSPIR PRESS
G0141 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests SCR C/V CYTO,AUTOSYS AND MD SCR C/V CYTO,AUTOSYS AND MD
G0257 Dialysis Services Inpatient Medical and Surgical Care in a General Hospital UNSCHED DIALYSIS ESRD PT HOS UNSCHED DIALYSIS ESRD PT HOS