E2609 Durable Medical Equipment Home Health Care CUSTOM FABRICATE W/C CUSHION CUSTOM FABRICATE W/C CUSHION
E2611 Durable Medical Equipment Home Health Care GEN USE BACK CUSH WDTH <22IN GEN USE BACK CUSH WDTH <22IN
E2613 Durable Medical Equipment Home Health Care POSITION BACK CUSH WD <22IN POSITION BACK CUSH WD <22IN
E2615 Durable Medical Equipment Home Health Care POS BACK POST/LAT WDTH <22IN POS BACK POST/LAT WDTH <22IN
E2617 Durable Medical Equipment Home Health Care CUSTOM FAB W/C BACK CUSHION CUSTOM FAB W/C BACK CUSHION
E2619 Durable Medical Equipment Home Health Care REPLACE COVER W/C SEAT CUSH REPLACE COVER W/C SEAT CUSH
G0433 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests ELISA HIV-1/HIV-2 SCREEN ELISA HIV-1/HIV-2 SCREEN
G0451 Early Intervention Services Medical Care Outpatient Visits DEVLOPMENT TEST INTERPT&REP DEVLOPMENT TEST INTERPT&REP
G0455 Inpatient Medical and Surgical Care in a General Hospital Surgery as an Outpatient FECAL MICROBIOTA PREP INSTIL FECAL MICROBIOTA PREP INSTIL
G0466 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 FQHC VISIT NEW PATIENT FQHC VISIT NEW PATIENT