99384 Initial new patient preventive medicine evaluation (12-17 years) Initial new patient preventive medicine evaluation (12-17 years)
99387 Initial new patient preventive medicine evaluation (65 years or older) Initial new patient preventive medicine evaluation (65 years or older)
99391 Established patient periodic preventive medicine examination (younger than 1 year) Established patient periodic preventive medicine examination (younger than 1 year)
99392 Established patient periodic preventive medicine examination (1-4 years) Established patient periodic preventive medicine examination (1-4 years)
99393 Established patient periodic preventive medicine examination (5-11 years) Established patient periodic preventive medicine examination (5-11 years)
99394 Established patient periodic preventive medicine examination (12-17 years) Established patient periodic preventive medicine examination (12-17 years)
99395 Established patient periodic preventive medicine examination (18-39 years) Established patient periodic preventive medicine examination (18-39 years)
99397 Established patient periodic preventive medicine examination (65 year old or older) Established patient periodic preventive medicine examination (65 year old or older)
96171 Inpatient Medical and Surgical Care in a General Hospital 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 Treatment of behavior impacting health with family, each additional 30 minutes Treatment of behavior impacting health with family, each additional 30 minutes
96370 Emergency Medical Outpatient Services Home Health Care Labs, X-Rays and Other Tests Maternity Services Medical Care Outpatient Visits Radiation Therapy and Chemotherapy Infusion into tissue for therapy or prevention, each additional hour Infusion into tissue for therapy or prevention, each additional hour