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99359

Emergency Medical Outpatient 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
Extended patient service without direct patient contact, each additional 30 minutes
Extended patient service without direct patient contact, each additional 30 minutes

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