Q5106 Home Health Care Medical Care Outpatient Visits Radiation Therapy and Chemotherapy INJ RETACRIT NON-ESRD USE INJ RETACRIT NON-ESRD USE
Q5111 Home Health Care Medical Care Outpatient Visits Radiation Therapy and Chemotherapy INJECTION, UDENYCA 0.5 MG INJECTION, UDENYCA 0.5 MG
Q5120 Home Health Care Medical Care Outpatient Visits Radiation Therapy and Chemotherapy INJ PEGFILGRASTIM-BMEZ 0.5MG INJ PEGFILGRASTIM-BMEZ 0.5MG
Q5122 Home Health Care Medical Care Outpatient Visits Radiation Therapy and Chemotherapy INJ, NYVEPRIA INJ, NYVEPRIA
Q9950 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests INJ SULF HEXA LIPID MICROSPH INJ SULF HEXA LIPID MICROSPH
L4210 Durable Medical Equipment Prosthetic Devices ORTH DEV REPAIR/REPL MINOR P ORTH DEV REPAIR/REPL MINOR P
L4350 Durable Medical Equipment Prosthetic Devices ANKLE CONTROL ORTHO PRE OTS ANKLE CONTROL ORTHO PRE OTS
L4360 Durable Medical Equipment Prosthetic Devices PNEUMAT WALKING BOOT PRE CST PNEUMAT WALKING BOOT PRE CST
L4386 Durable Medical Equipment Prosthetic Devices NON-PNEUM WALK BOOT PRE CST NON-PNEUM WALK BOOT PRE CST
L4387 Durable Medical Equipment Prosthetic Devices NON-PNEUM WALK BOOT PRE OTS NON-PNEUM WALK BOOT PRE OTS