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G8511

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
SCR DEP POS, NO PLAN DOC RNG
SCR DEP POS, NO PLAN DOC RNG

G8542

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
DOC FUNCT NO DEFICIENCIES
DOC FUNCT NO DEFICIENCIES

G8712

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
NOT PRES ANTIBIOTIC
NOT PRES ANTIBIOTIC

G8865

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
DOC MED REAS NO PNEUMOCOCCAL
DOC MED REAS NO PNEUMOCOCCAL

H2020

Emergency Medical Outpatient Services
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
THER BEHAV SVC, PER DIEM
THER BEHAV SVC, PER DIEM