R0075 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests TRANSPORT PORT X-RAY MULTIPL TRANSPORT PORT X-RAY MULTIPL
R0076 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests TRANSPORT PORTABLE EKG TRANSPORT PORTABLE EKG
S0020 Home Health Care Inpatient Medical and Surgical Care in a General Hospital Surgery as an Outpatient Medical Care Outpatient Visits INJECTION, BUPIVICAINE HYDRO INJECTION, BUPIVICAINE HYDRO
S0030 Home Health Care Infertility Services Medical Care Outpatient Visits Prescription Drugs Radiation Therapy and Chemotherapy INJECTION, METRONIDAZOLE INJECTION, METRONIDAZOLE
S0073 Home Health Care Infertility Services Medical Care Outpatient Visits Prescription Drugs Radiation Therapy and Chemotherapy INJECTION, AZTREONAM, 500 MG INJECTION, AZTREONAM, 500 MG
S0077 Home Health Care Infertility Services Medical Care Outpatient Visits Prescription Drugs Radiation Therapy and Chemotherapy INJECTION, CLINDAMYCIN PHOSP INJECTION, CLINDAMYCIN PHOSP
S0122 Home Health Care Infertility Services Medical Care Outpatient Visits Radiation Therapy and Chemotherapy INJ MENOTROPINS 75 IU INJ MENOTROPINS 75 IU
S0201 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 PARTIAL HOSPITALIZATION SERV PARTIAL HOSPITALIZATION SERV