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96125

Inpatient Medical and Surgical Care in a General Hospital
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
Test to assess the ability to complete specific functional tasks applicable to environment
Test to assess the ability to complete specific functional tasks applicable to environment

96158

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, initial 30 minutes
Treatment of behavior impacting health, initial 30 minutes

96159

Early Intervention 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
Treatment of behavior impacting health, each additional 15 minutes
Treatment of behavior impacting health, each additional 15 minutes

93740

Labs, X-Rays and Other Tests
Measurement of heart blood vessel function at various temperatures
Measurement of heart blood vessel function at various temperatures