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S9441

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
ASTHMA EDUCATION
ASTHMA EDUCATION

S9443

LACTATION CLASS
LACTATION CLASS

S9445

PT EDUCATION NOC INDIVID
PT EDUCATION NOC INDIVID

S9451

EXERCISE CLASS
EXERCISE CLASS

V2107

SPHEROCYLINDER 4.25D/12-2D
SPHEROCYLINDER 4.25D/12-2D

V2200

LENS SPHER BIFOC PLANO 4.00D
LENS SPHER BIFOC PLANO 4.00D

V2203

LENS SPHCYL BIFOCAL 4.00D/.1
LENS SPHCYL BIFOCAL 4.00D/.1