S0265 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 GENETIC COUNSEL 15 MINS GENETIC COUNSEL 15 MINS
S1040 Durable Medical Equipment Prosthetic Devices CRANIAL REMOLDING ORTHOSIS CRANIAL REMOLDING ORTHOSIS
S2083 Inpatient Medical and Surgical Care in a General Hospital Surgery as an Outpatient ADJUSTMENT GASTRIC BAND ADJUSTMENT GASTRIC BAND
S4981 Inpatient Medical and Surgical Care in a General Hospital Surgery as an Outpatient INSERT LEVONORGESTREL IUS INSERT LEVONORGESTREL IUS
S8110 Inpatient Medical and Surgical Care in a General Hospital Labs, X-Rays and Other Tests PEAK EXPIRATORY FLOW RATE (P PEAK EXPIRATORY FLOW RATE (P
V5008 Labs, X-Rays and Other Tests Routine Hearing Exams and Tests HEARING SCREENING HEARING SCREENING