Default Fee Schedule Part 6

Default Fee Schedule Part 6

CodePriceTypeDescription
L86810HCPCS / CPT®PT PRGRM FOR IMPLT NEUROSTIM
L86820HCPCS / CPT®IMPLT NEUROSTIM RADIOFQ REC
L86830HCPCS / CPT®RADIOFQ TRSMTR FOR IMPLT NEU
L86840HCPCS / CPT®RADIOF TRSMTR IMPLT SCRL NEU
L86850HCPCS / CPT®IMPLT NROSTM PLS GEN SNG REC
L86860HCPCS / CPT®IMPLT NROSTM PLS GEN SNG NON
L86870HCPCS / CPT®IMPLT NROSTM PLS GEN DUA REC
L86880HCPCS / CPT®IMPLT NROSTM PLS GEN DUA NON
L86890HCPCS / CPT®EXTERNAL RECHARG SYS INTERN
L86900HCPCS / CPT®AUD OSSEO DEV, INT/EXT COMP
L86910HCPCS / CPT®OSSEOINTEGRATED SND PROC RPL
L86920HCPCS / CPT®NON-OSSEOINTEGRATED SND PROC
L86930HCPCS / CPT®AUD OSSEO DEV, ABUTMENT
L86950HCPCS / CPT®EXTERNAL RECHARG SYS EXTERN
L86960HCPCS / CPT®EXT ANTENNA PHREN NERVE STIM
L86990HCPCS / CPT®PROSTHETIC IMPLANT NOS
L99000HCPCS / CPT®O&P SUPPLY/ACCESSORY/SERVICE
M00750HCPCS / CPT®CELLULAR THERAPY
M00760HCPCS / CPT®PROLOTHERAPY
M01000HCPCS / CPT®INTRAGASTRIC HYPOTHERMIA
M03000HCPCS / CPT®IV CHELATIONTHERAPY
M03010HCPCS / CPT®FABRIC WRAPPING OF ANEURYSM
P20280HCPCS / CPT®CEPHALIN FLOCULATION TEST
P20290HCPCS / CPT®CONGO RED BLOOD TEST
P20310HCPCS / CPT®HAIR ANALYSIS
P20330HCPCS / CPT®BLOOD THYMOL TURBIDITY
P20380HCPCS / CPT®BLOOD MUCOPROTEIN
P300075HCPCS / CPT®SCREEN PAP BY TECH W MD SUPV
P30010HCPCS / CPT®SCREENING PAP SMEAR BY PHYS
P700181HCPCS / CPT®CULTURE BACTERIAL URINE
P90100HCPCS / CPT®WHOLE BLOOD FOR TRANSFUSION
P90110HCPCS / CPT®BLOOD SPLIT UNIT
P90120HCPCS / CPT®CRYOPRECIPITATE EACH UNIT
P90160HCPCS / CPT®RBC LEUKOCYTES REDUCED
P90170HCPCS / CPT®PLASMA 1 DONOR FRZ W/IN 8 HR
P90190HCPCS / CPT®PLATELETS, EACH UNIT
P90200HCPCS / CPT®PLAELET RICH PLASMA UNIT
P90210HCPCS / CPT®RED BLOOD CELLS UNIT
P90220HCPCS / CPT®WASHED RED BLOOD CELLS UNIT
P90230HCPCS / CPT®FROZEN PLASMA, POOLED, SD
P90310HCPCS / CPT®PLATELETS LEUKOCYTES REDUCED
P90320HCPCS / CPT®PLATELETS, IRRADIATED
P90330HCPCS / CPT®PLATELETS LEUKOREDUCED IRRAD
P90340HCPCS / CPT®PLATELETS, PHERESIS
P90350HCPCS / CPT®PLATELET PHERES LEUKOREDUCED
P90360HCPCS / CPT®PLATELET PHERESIS IRRADIATED
P90370HCPCS / CPT®PLATE PHERES LEUKOREDU IRRAD
P90380HCPCS / CPT®RBC IRRADIATED
P90390HCPCS / CPT®RBC DEGLYCEROLIZED
P90400HCPCS / CPT®RBC LEUKOREDUCED IRRADIATED
P90410HCPCS / CPT®ALBUMIN (HUMAN),5%, 50ML
P90430HCPCS / CPT®PLASMA PROTEIN FRACT,5%,50ML
P90440HCPCS / CPT®CRYOPRECIPITATEREDUCEDPLASMA
P90450HCPCS / CPT®ALBUMIN (HUMAN), 5%, 250 ML
P90460HCPCS / CPT®ALBUMIN (HUMAN), 25%, 20 ML
P90470HCPCS / CPT®ALBUMIN (HUMAN), 25%, 50ML
P90480HCPCS / CPT®PLASMAPROTEIN FRACT,5%,250ML
P90500HCPCS / CPT®GRANULOCYTES, PHERESIS UNIT
P90510HCPCS / CPT®BLOOD, L/R, CMV-NEG
P90520HCPCS / CPT®PLATELETS, HLA-M, L/R, UNIT
P90530HCPCS / CPT®PLT, PHER, L/R CMV-NEG, IRR
P90540HCPCS / CPT®BLOOD, L/R, FROZ/DEGLY/WASH
P90550HCPCS / CPT®PLT, APH/PHER, L/R, CMV-NEG
P90560HCPCS / CPT®BLOOD, L/R, IRRADIATED
P90570HCPCS / CPT®RBC, FRZ/DEG/WSH, L/R, IRRAD
P90580HCPCS / CPT®RBC, L/R, CMV-NEG, IRRAD
P90590HCPCS / CPT®PLASMA, FRZ BETWEEN 8-24HOUR
P90600HCPCS / CPT®FR FRZ PLASMA DONOR RETESTED
P90700HCPCS / CPT®PATHOGEN REDUCED PLASMA POOL
P90710HCPCS / CPT®PATHOGEN REDUCED PLASMA SING
P90720HCPCS / CPT®PLATE PATH RED/RAPID BAC TES
P96030HCPCS / CPT®ONE-WAY ALLOW PRORATED MILES
P96040HCPCS / CPT®ONE-WAY ALLOW PRORATED TRIP
P9612161HCPCS / CPT®CATHETERIZE FOR URINE SPEC
P96150HCPCS / CPT®URINE SPECIMEN COLLECT MULT
Q00350HCPCS / CPT®CARDIOKYMOGRAPHY
Q00810HCPCS / CPT®INFUSION THER OTHER THAN CHE
Q00830HCPCS / CPT®CHEMO BY OTHER THAN INFUSION
Q00840HCPCS / CPT®CHEMOTHERAPY BY INFUSION
Q00850HCPCS / CPT®CHEMO BY BOTH INFUSION AND O
Q00910HCPCS / CPT®OBTAINING SCREEN PAP SMEAR
Q00920HCPCS / CPT®SET UP PORT XRAY EQUIPMENT
Q011127HCPCS / CPT®WET MOUNTS/ W PREPARATIONS
Q01120HCPCS / CPT®POTASSIUM HYDROXIDE PREPS
Q01130HCPCS / CPT®PINWORM EXAMINATIONS
Q01140HCPCS / CPT®FERN TEST
Q01150HCPCS / CPT®POST-COITAL MUCOUS EXAM
Q01380HCPCS / CPT®FERUMOXYTOL, NON-ESRD
Q01390HCPCS / CPT®FERUMOXYTOL, ESRD USE
Q01440HCPCS / CPT®AZITHROMYCIN DIHYDRATE, ORAL
Q01610HCPCS / CPT®CHLORPROMAZINE HCL 5MG ORAL
Q0162150HCPCS / CPT®ONDANSETRON ORAL
Q01630HCPCS / CPT®DIPHENHYDRAMINE HCL 50MG
Q01640HCPCS / CPT®PROCHLORPERAZINE MALEATE 5MG
Q01660HCPCS / CPT®GRANISETRON HCL 1 MG ORAL
Q01670HCPCS / CPT®DRONABINOL 2.5MG ORAL
Q01690HCPCS / CPT®PROMETHAZINE HCL 12.5MG ORAL
Q01730HCPCS / CPT®TRIMETHOBENZAMIDE HCL 250MG
Q01740HCPCS / CPT®THIETHYLPERAZINE MALEATE10MG
Q01750HCPCS / CPT®PERPHENAZINE 4MG ORAL
Q01770HCPCS / CPT®HYDROXYZINE PAMOATE 25MG
Q01800HCPCS / CPT®DOLASETRON MESYLATE ORAL
Q01810HCPCS / CPT®UNSPECIFIED ORAL ANTI-EMETIC
Q04780HCPCS / CPT®POWER ADAPTER, COMBO VAD
Q04790HCPCS / CPT®POWER MODULE COMBO VAD, REP
Q04800HCPCS / CPT®DRIVER PNEUMATIC VAD, REP
Q04810HCPCS / CPT®MICROPRCSR CU ELEC VAD, REP
Q04820HCPCS / CPT®MICROPRCSR CU COMBO VAD, REP
Q04830HCPCS / CPT®MONITOR ELEC VAD, REP
Q04840HCPCS / CPT®MONITOR ELEC OR COMB VAD REP
Q04850HCPCS / CPT®MONITOR CABLE ELEC VAD, REP
Q04860HCPCS / CPT®MON CABLE ELEC/PNEUM VAD REP
Q04870HCPCS / CPT®LEADS ANY TYPE VAD, REP ONLY
Q04880HCPCS / CPT®PWR PACK BASE ELEC VAD, REP
Q04890HCPCS / CPT®PWR PCK BASE COMBO VAD, REP
Q04900HCPCS / CPT®EMR PWR SOURCE ELEC VAD, REP
Q04910HCPCS / CPT®EMR PWR SOURCE COMBO VAD REP
Q04920HCPCS / CPT®EMR PWR CBL ELEC VAD, REP
Q04930HCPCS / CPT®EMR PWR CBL COMBO VAD, REP
Q04940HCPCS / CPT®EMR HD PMP ELEC/COMBO, REP
Q04950HCPCS / CPT®CHARGER ELEC/COMBO VAD, REP
Q04960HCPCS / CPT®BATTERY ELEC/COMBO VAD, REP
Q04970HCPCS / CPT®BAT CLPS ELEC/COMB VAD, REP
Q04980HCPCS / CPT®HOLSTER ELEC/COMBO VAD, REP
Q04990HCPCS / CPT®BELT/VEST ELEC/COMBO VAD REP
Q05000HCPCS / CPT®FILTERS ELEC/COMBO VAD, REP
Q05010HCPCS / CPT®SHWR COV ELEC/COMBO VAD, REP
Q05020HCPCS / CPT®MOBILITY CART PNEUM VAD, REP
Q05030HCPCS / CPT®BATTERY PNEUM VAD REPLACEMNT
Q05040HCPCS / CPT®PWR ADPT PNEUM VAD, REP VEH
Q05060HCPCS / CPT®LITH-ION BATT ELEC/PNEUM VAD
Q05070HCPCS / CPT®MISC SUP/ACC EXT VAD
Q05080HCPCS / CPT®MIS SUP/ACC IMP VAD
Q05090HCPCS / CPT®MIS SUP/AC IMP VAD NOPAY MED
Q05100HCPCS / CPT®DISPENS FEE IMMUNOSUPRESSIVE
Q05110HCPCS / CPT®SUP FEE ANTIEM,ANTICA,IMMUNO
Q05120HCPCS / CPT®PX SUP FEE ANTI-CAN SUB PRES
Q05130HCPCS / CPT®DISP FEE INHAL DRUGS/30 DAYS
Q05140HCPCS / CPT®DISP FEE INHAL DRUGS/90 DAYS
Q05150HCPCS / CPT®SERMORELIN ACETATE INJECTION
Q10040HCPCS / CPT®NTIOL CATEGORY 4
Q10050HCPCS / CPT®NTIOL CATEGORY 5
Q20040HCPCS / CPT®BLADDER CALCULI IRRIG SOL
Q20090HCPCS / CPT®FOSPHENYTOIN INJ PE
Q20170HCPCS / CPT®TENIPOSIDE, 50 MG
Q20260HCPCS / CPT®RADIESSE INJECTION
Q20280HCPCS / CPT®INJ, SCULPTRA, 0.5MG
Q20340HCPCS / CPT®AGRIFLU VACCINE
Q20350HCPCS / CPT®AFLURIA VACC, 3 YRS & >, IM
Q20360HCPCS / CPT®FLULAVAL VACC, 3 YRS & >, IM
Q20370HCPCS / CPT®FLUVIRIN VACC, 3 YRS & >, IM
Q20380HCPCS / CPT®FLUZONE VACC, 3 YRS & >, IM
Q20390HCPCS / CPT®INFLUENZA VIRUS VACCINE, NOS
Q20430HCPCS / CPT®SIPULEUCEL-T AUTO CD54+
Q20490HCPCS / CPT®IMPORTED LIPODOX INJ
Q20500HCPCS / CPT®DOXORUBICIN INJ 10MG
Q20520HCPCS / CPT®IVIG DEMO, SERVICES/SUPPLIES
Q30010HCPCS / CPT®BRACHYTHERAPY RADIOELEMENTS
Q30140HCPCS / CPT®TELEHEALTH FACILITY FEE
Q30270HCPCS / CPT®INJ BETA INTERFERON IM 1 MCG
Q30280HCPCS / CPT®INJ BETA INTERFERON SQ 1 MCG
Q30310HCPCS / CPT®COLLAGEN SKIN TEST
Q40010HCPCS / CPT®CAST SUP BODY CAST PLASTER
Q40020HCPCS / CPT®CAST SUP BODY CAST FIBERGLAS
Q40030HCPCS / CPT®CAST SUP SHOULDER CAST PLSTR
Q40040HCPCS / CPT®CAST SUP SHOULDER CAST FBRGL
Q40050HCPCS / CPT®CAST SUP LONG ARM ADULT PLST
Q400684HCPCS / CPT®CAST SUP LONG ARM ADULT FBRG
Q400714HCPCS / CPT®CAST SUP LONG ARM PED PLSTER
Q400836HCPCS / CPT®CAST SUP LONG ARM PED FBRGLS
Q4009127HCPCS / CPT®CAST SUP SHT ARM ADULT PLSTR
Q401050HCPCS / CPT®CAST SUP SHT ARM ADULT FBRGL
Q40110HCPCS / CPT®CAST SUP SHT ARM PED PLASTER
Q401279HCPCS / CPT®CAST SUP SHT ARM PED FBRGLAS
Q40130HCPCS / CPT®CAST SUP GAUNTLET PLASTER
Q40140HCPCS / CPT®CAST SUP GAUNTLET FIBERGLASS
Q40150HCPCS / CPT®CAST SUP GAUNTLET PED PLSTER
Q40160HCPCS / CPT®CAST SUP GAUNTLET PED FBRGLS
Q40170HCPCS / CPT®CAST SUP LNG ARM SPLINT PLST
Q40180HCPCS / CPT®CAST SUP LNG ARM SPLINT FBRG
Q40190HCPCS / CPT®CAST SUP LNG ARM SPLNT PED P
Q402035HCPCS / CPT®CAST SUP LNG ARM SPLNT PED F
Q40210HCPCS / CPT®CAST SUP SHT ARM SPLINT PLST
Q4022732HCPCS / CPT®CAST SUP SHT ARM SPLINT FBRG
Q40230HCPCS / CPT®CAST SUP SHT ARM SPLNT PED P
Q40240HCPCS / CPT®CAST SUP SHT ARM SPLNT PED F
Q40250HCPCS / CPT®CAST SUP HIP SPICA PLASTER
Q40260HCPCS / CPT®CAST SUP HIP SPICA FIBERGLAS
Q40270HCPCS / CPT®CAST SUP HIP SPICA PED PLSTR
Q40280HCPCS / CPT®CAST SUP HIP SPICA PED FBRGL
Q40290HCPCS / CPT®CAST SUP LONG LEG PLASTER
Q40300HCPCS / CPT®CAST SUP LONG LEG FIBERGLASS
Q40310HCPCS / CPT®CAST SUP LNG LEG PED PLASTER
Q40320HCPCS / CPT®CAST SUP LNG LEG PED FBRGLS
Q40330HCPCS / CPT®CAST SUP LNG LEG CYLINDER PL
Q4034160HCPCS / CPT®CAST SUP LNG LEG CYLINDER FB
Q40350HCPCS / CPT®CAST SUP LNGLEG CYLNDR PED P
Q40360HCPCS / CPT®CAST SUP LNGLEG CYLNDR PED F
Q4037133HCPCS / CPT®CAST SUP SHRT LEG PLASTER
Q403822HCPCS / CPT®CAST SUP SHRT LEG FIBERGLASS
Q4039157HCPCS / CPT®CAST SUP SHRT LEG PED PLSTER
Q40400HCPCS / CPT®CAST SUP SHRT LEG PED FBRGLS
Q40410HCPCS / CPT®CAST SUP LNG LEG SPLNT PLSTR
Q4042126HCPCS / CPT®CAST SUP LNG LEG SPLNT FBRGL
Q40430HCPCS / CPT®CAST SUP LNG LEG SPLNT PED P
Q40440HCPCS / CPT®CAST SUP LNG LEG SPLNT PED F
Q40450HCPCS / CPT®CAST SUP SHT LEG SPLNT PLSTR
Q4046262HCPCS / CPT®CAST/SPINT SUP SHT LEG SPLNT FBRGL > 10
Q40470HCPCS / CPT®CAST SUP SHT LEG SPLNT PED P
Q4048216HCPCS / CPT®CAST/SPLINT SUP SHT LEG SPLNT PED F > 10
Q4049207HCPCS / CPT®FINGER SPLINT, STATIC
Q40500HCPCS / CPT®CAST SUPPLIES UNLISTED
Q4051142HCPCS / CPT®SPLINT SUPPLIES MISC
Q40740HCPCS / CPT®ILOPROST NON-COMP UNIT DOSE
Q40810HCPCS / CPT®EPOETIN ALFA, 100 UNITS ESRD
Q40820HCPCS / CPT®DRUG/BIO NOC PART B DRUG CAP
Q41000HCPCS / CPT®SKIN SUBSTITUTE, NOS
Q41010HCPCS / CPT®APLIGRAF
Q41020HCPCS / CPT®OASIS WOUND MATRIX
Q41030HCPCS / CPT®OASIS BURN MATRIX
Q41040HCPCS / CPT®INTEGRA BMWD
Q41050HCPCS / CPT®INTEGRA DRT OR OMNIGRAFT
Q41060HCPCS / CPT®DERMAGRAFT
Q41070HCPCS / CPT®GRAFTJACKET
Q41080HCPCS / CPT®INTEGRA MATRIX
Q41100HCPCS / CPT®PRIMATRIX
Q41110HCPCS / CPT®GAMMAGRAFT
Q41120HCPCS / CPT®CYMETRA INJECTABLE
Q41130HCPCS / CPT®GRAFTJACKET XPRESS
Q41140HCPCS / CPT®INTEGRA FLOWABLE WOUND MATRI
Q41150HCPCS / CPT®ALLOSKIN
Q41160HCPCS / CPT®ALLODERM
Q41170HCPCS / CPT®HYALOMATRIX
Q41180HCPCS / CPT®MATRISTEM MICROMATRIX
Q41210HCPCS / CPT®THERASKIN
Q41220HCPCS / CPT®DERMACELL
Q41230HCPCS / CPT®ALLOSKIN
Q41240HCPCS / CPT®OASIS TRI-LAYER WOUND MATRIX
Q41250HCPCS / CPT®ARTHROFLEX
Q41260HCPCS / CPT®MEMODERM/DERMA/TRANZ/INTEGUP
Q41270HCPCS / CPT®TALYMED
Q41280HCPCS / CPT®FLEXHD/ALLOPATCHHD/MATRIXHD
Q41300HCPCS / CPT®STRATTICE TM
Q41310HCPCS / CPT®EPIFIX OR EPICORD
Q41320HCPCS / CPT®GRAFIX CORE
Q41330HCPCS / CPT®GRAFIX PRIME
Q41340HCPCS / CPT®HMATRIX
Q41350HCPCS / CPT®MEDISKIN
Q41360HCPCS / CPT®EZDERM
Q41370HCPCS / CPT®AMNIOEXCEL OR BIODEXCEL, 1CM
Q41380HCPCS / CPT®BIODFENCE DRYFLEX, 1CM
Q41390HCPCS / CPT®AMNIO OR BIODMATRIX, INJ 1CC
Q41400HCPCS / CPT®BIODFENCE 1CM
Q41410HCPCS / CPT®ALLOSKIN AC, 1 CM
Q41420HCPCS / CPT®XCM BIOLOGIC TISS MATRIX 1CM
Q41430HCPCS / CPT®REPRIZA, 1CM
Q41450HCPCS / CPT®EPIFIX, INJ, 1MG
Q41460HCPCS / CPT®TENSIX, 1CM
Q41470HCPCS / CPT®ARCHITECT ECM PX FX 1 SQ CM
Q41480HCPCS / CPT®NEOX 1K, 1CM
Q41490HCPCS / CPT®EXCELLAGEN, 0.1 CC
Q41500HCPCS / CPT®ALLOWRAP DS OR DRY 1 SQ CM
Q41510HCPCS / CPT®AMNIOBAND, GUARDIAN 1 SQ CM
Q41520HCPCS / CPT®DERMAPURE 1 SQUARE CM
Q41530HCPCS / CPT®DERMAVEST, PLURIVEST SQ CM
Q41540HCPCS / CPT®BIOVANCE 1 SQUARE CM
Q41550HCPCS / CPT®NEOXFLO OR CLARIXFLO 1 MG
Q41560HCPCS / CPT®NEOX 100 1 SQUARE CM
Q41570HCPCS / CPT®REVITALON 1 SQUARE CM
Q41580HCPCS / CPT®MARIGEN 1 SQUARE CM
Q41590HCPCS / CPT®AFFINITY1 SQUARE CM
Q41600HCPCS / CPT®NUSHIELD 1 SQUARE CM
Q41610HCPCS / CPT®BIO-CONNEKT PER SQUARE CM
Q41620HCPCS / CPT®AMNIO BIO AND WOUNDEX FLOW
Q41630HCPCS / CPT®AMNIO BIO AND WOUNDEX SQ CM
Q41640HCPCS / CPT®HELICOLL, PER SQUARE CM
Q41650HCPCS / CPT®KERAMATRIX, PER SQUARE CM
Q41660HCPCS / CPT®CYTAL, PER SQUARE CENTIMETER
Q41670HCPCS / CPT®TRUSKIN, PER SQ CENTIMETER
Q41680HCPCS / CPT®AMNIOBAND, 1 MG
Q41690HCPCS / CPT®ARTACENT WOUND, PER SQ CM
Q41700HCPCS / CPT®CYGNUS, PER SQ CM
Q41710HCPCS / CPT®INTERFYL, 1 MG
Q41720HCPCS / CPT®PURAPLY OR PURAPLY AM
Q41730HCPCS / CPT®PALINGEN OR PALINGEN XPLUS
Q41740HCPCS / CPT®PALINGEN OR PROMATRX
Q41750HCPCS / CPT®MIRODERM
Q50010HCPCS / CPT®HOSPICE OR HOME HLTH IN HOME
Q50020HCPCS / CPT®HOSPICE/HOME HLTH IN ASST LV
Q50030HCPCS / CPT®HOSPICE IN LT/NON-SKILLED NF
Q50040HCPCS / CPT®HOSPICE IN SNF
Q50050HCPCS / CPT®HOSPICE, INPATIENT HOSPITAL
Q50060HCPCS / CPT®HOSPICE IN HOSPICE FACILITY
Q50070HCPCS / CPT®HOSPICE IN LTCH
Q50080HCPCS / CPT®HOSPICE IN INPATIENT PSYCH
Q50090HCPCS / CPT®HOSPICE/HOME HLTH, PLACE NOS
Q50100HCPCS / CPT®HOSPICE HOME CARE IN HOSPICE
Q51010HCPCS / CPT®INJ FILGRASTIM GCSF BIOSIMIL
Q51020HCPCS / CPT®INJ., INFLIXIMAB BIOSIMILAR
Q99500HCPCS / CPT®INJ SULF HEXA LIPID MICROSPH
Q99510HCPCS / CPT®LOCM >= 400 MG/ML IODINE,1ML
Q99530HCPCS / CPT®INJ FE-BASED MR CONTRAST,1ML
Q9954557HCPCS / CPT®ORAL MR CONTRAST, 100 ML
Q99550HCPCS / CPT®INJ PERFLEXANE LIP MICROS,ML
Q99560HCPCS / CPT®INJ OCTAFLUOROPROPANE MIC,ML
Q99570HCPCS / CPT®INJ PERFLUTREN LIP MICROS,ML
Q99580HCPCS / CPT®HOCM <=149 MG/ML IODINE, 1ML
Q99590HCPCS / CPT®HOCM 150-199MG/ML IODINE,1ML
Q99600HCPCS / CPT®HOCM 200-249MG/ML IODINE,1ML
Q99610HCPCS / CPT®HOCM 250-299MG/ML IODINE,1ML
Q99620HCPCS / CPT®HOCM 300-349MG/ML IODINE,1ML
Q996328HCPCS / CPT®HOCM 350-399MG/ML IODINE,1ML
Q99640HCPCS / CPT®HOCM>= 400MG/ML IODINE, 1ML
Q99650HCPCS / CPT®LOCM 100-199MG/ML IODINE,1ML
Q996622HCPCS / CPT®LOCM 200-299MG/ML IODINE,1ML
Q99677HCPCS / CPT®LOCM 300-399MG/ML IODINE,1ML
Q99680HCPCS / CPT®VISUALIZATION ADJUNCT
Q99690HCPCS / CPT®NON-HEU TC-99M ADD-ON/DOSE
Q99820HCPCS / CPT®FLUTEMETAMOL F18 DIAGNOSTIC
Q99830HCPCS / CPT®FLORBETABEN F18 DIAGNOSTIC
R00700HCPCS / CPT®TRANSPORT PORTABLE X-RAY
R00750HCPCS / CPT®TRANSPORT PORT X-RAY MULTIPL
R00760HCPCS / CPT®TRANSPORT PORTABLE EKG
S00120HCPCS / CPT®BUTORPHANOL TARTRATE, NASAL
S00140HCPCS / CPT®TACRINE HYDROCHLORIDE, 10 MG
S00170HCPCS / CPT®INJECTION, AMINOCAPROIC ACID
S002061HCPCS / CPT®INJECTION, BUPIVICAINE HYDRO
S00210HCPCS / CPT®INJECTION, CEFOPERAZONE SOD
S00230HCPCS / CPT®INJECTION, CIMETIDINE HYDROC
S002866HCPCS / CPT®INJECTION, FAMOTIDINE, 20 MG
S003097HCPCS / CPT®INJECTION, METRONIDAZOLE
S00320HCPCS / CPT®INJECTION, NAFCILLIN SODIUM
S00340HCPCS / CPT®INJECTION, OFLOXACIN, 400 MG
S00390HCPCS / CPT®INJECTION, SULFAMETHOXAZOLE
S00400HCPCS / CPT®INJECTION, TICARCILLIN DISOD
S00730HCPCS / CPT®INJECTION, AZTREONAM, 500 MG
S00740HCPCS / CPT®INJECTION, CEFOTETAN DISODIU
S007738HCPCS / CPT®INJECTION, CLINDAMYCIN PHOSP
S00780HCPCS / CPT®INJECTION, FOSPHENYTOIN SODI
S00800HCPCS / CPT®INJECTION, PENTAMIDINE ISETH
S00810HCPCS / CPT®INJECTION, PIPERACILLIN SODI
S00880HCPCS / CPT®IMATINIB 100 MG
S00900HCPCS / CPT®SILDENAFIL CITRATE, 25 MG
S00910HCPCS / CPT®GRANISETRON 1MG
S00920HCPCS / CPT®HYDROMORPHONE 250 MG
S00930HCPCS / CPT®MORPHINE 500 MG
S01040HCPCS / CPT®ZIDOVUDINE, ORAL, 100 MG
S01060HCPCS / CPT®BUPROPION HCL SR 60 TABLETS
S01080HCPCS / CPT®MERCAPTOPURINE 50 MG
S01090HCPCS / CPT®METHADONE ORAL 5MG
S01170HCPCS / CPT®TRETINOIN TOPICAL 5 G
S01199HCPCS / CPT®ONDANSETRON 4 MG
S01220HCPCS / CPT®INJ MENOTROPINS 75 IU
S01260HCPCS / CPT®INJ FOLLITROPIN ALFA 75 IU
S01280HCPCS / CPT®INJ FOLLITROPIN BETA 75 IU
S01320HCPCS / CPT®INJ GANIRELIX ACETAT 250 MCG
S01360HCPCS / CPT®CLOZAPINE, 25 MG
S01370HCPCS / CPT®DIDANOSINE, 25 MG
S01380HCPCS / CPT®FINASTERIDE, 5 MG
S01390HCPCS / CPT®MINOXIDIL, 10 MG
S01400HCPCS / CPT®SAQUINAVIR, 200 MG
S01420HCPCS / CPT®COLISTIMETHATE INH SOL MG
S01450HCPCS / CPT®PEG INTERFERON ALFA-2A/180
S01480HCPCS / CPT®PEG INTERFERON ALFA-2B/10
S01550HCPCS / CPT®EPOPROSTENOL DILUTANT
S01560HCPCS / CPT®EXEMESTANE, 25 MG
S01570HCPCS / CPT®BECAPLERMIN GEL 1%, 0.5 GM
S01600HCPCS / CPT®DEXTROAMPHETAMINE
S016487HCPCS / CPT®INJECTION PANTROPRAZOLE
S01660HCPCS / CPT®INJ OLANZAPINE 2.5MG
S01690HCPCS / CPT®CALCITROL
S01700HCPCS / CPT®ANASTROZOLE 1 MG
S01710HCPCS / CPT®BUMETANIDE 0.5 MG
S01720HCPCS / CPT®CHLORAMBUCIL 2 MG
S01740HCPCS / CPT®DOLASETRON 50 MG
S01750HCPCS / CPT®FLUTAMIDE 125 MG
S01760HCPCS / CPT®HYDROXYUREA 500 MG
S01770HCPCS / CPT®LEVAMISOLE 50 MG
S01780HCPCS / CPT®LOMUSTINE 10 MG
S01790HCPCS / CPT®MEGESTROL 20 MG
S01820HCPCS / CPT®PROCARBAZINE, ORAL
S01830HCPCS / CPT®PROCHLORPERAZINE 5 MG
S01870HCPCS / CPT®TAMOXIFEN 10 MG
S01890HCPCS / CPT®TESTOSTERONE PELLET 75 MG
S01900HCPCS / CPT®MIFEPRISTONE, ORAL, 200 MG
S01910HCPCS / CPT®MISOPROSTOL, ORAL, 200 MCG
S01940HCPCS / CPT®VITAMIN SUPPL 100 CAPS
S01970HCPCS / CPT®PRENATAL VITAMINS 30 DAY
S01990HCPCS / CPT®MED ABORTION INC ALL EX DRUG
S02010HCPCS / CPT®PARTIAL HOSPITALIZATION SERV
S02070HCPCS / CPT®PARAMEDICINTERCEP NONHOSPALS
S02080HCPCS / CPT®PARAMED INTRCEPT NONVOL
S02090HCPCS / CPT®WC VAN MILEAGE PER MI
S02150HCPCS / CPT®NONEMERG TRANSP MILEAGE
S02200HCPCS / CPT®MEDICAL CONFERENCE BY PHYSIC
S02210HCPCS / CPT®MEDICAL CONFERENCE, 60 MIN
S02500HCPCS / CPT®COMP GERIATR ASSMT TEAM
S02550HCPCS / CPT®HOSPICE REFER VISIT NONMD
S02570HCPCS / CPT®END OF LIFE COUNSELING
S02600HCPCS / CPT®H&P FOR SURGERY
S02650HCPCS / CPT®GENETIC COUNSEL 15 MINS
S02700HCPCS / CPT®HOME STD CASE RATE 30 DAYS
S02710HCPCS / CPT®HOME HOSPICE CASE 30 DAYS
S02720HCPCS / CPT®HOME EPISODIC CASE 30 DAYS
S02730HCPCS / CPT®MD HOME VISIT OUTSIDE CAP
S02740HCPCS / CPT®NURSE PRACTR VISIT OUTS CAP
S02800HCPCS / CPT®MEDICAL HOME, INITIAL PLAN
S02810HCPCS / CPT®MEDICAL HOME, MAINTENANCE
S02850HCPCS / CPT®CNSLT BEFORE SCREEN COLONOSC
S03020HCPCS / CPT®COMPLETED EPSDT
S03100HCPCS / CPT®HOSPITALIST VISIT
S03110HCPCS / CPT®COMP MGMT CARE COORD ADV ILL
S03150HCPCS / CPT®DISEASE MANAGEMENT PROGRAM
S03160HCPCS / CPT®FOLLOW-UP/REASSESSMENT
S03170HCPCS / CPT®DISEASE MGMT PER DIEM
S03200HCPCS / CPT®RN TELEPHONE CALLS TO DMP
S03400HCPCS / CPT®LIFESTYLE MOD 1ST STAGE
S03410HCPCS / CPT®LIFESTYLE MOD 2 OR 3 STAGE
S03420HCPCS / CPT®LIFESTYLE MOD 4TH STAGE
S03530HCPCS / CPT®CANCER TREATMENTPLAN INITIAL
S03540HCPCS / CPT®CANCER TREATMENT PLAN CHANGE
S03900HCPCS / CPT®ROUT FOOT CARE PER VISIT
S03950HCPCS / CPT®IMPRESSION CASTING FT
S04000HCPCS / CPT®GLOBAL ESWL KIDNEY
S05000HCPCS / CPT®DISPOS CONT LENS
S05040HCPCS / CPT®SINGL PRSCRP LENS
S05060HCPCS / CPT®BIFOC PRSCP LENS
S05080HCPCS / CPT®TRIFOC PRSCRP LENS
S05100HCPCS / CPT®NON-PRSCRP LENS
S05120HCPCS / CPT®DAILY CONT LENS
S05140HCPCS / CPT®COLOR CONT LENS
S05150HCPCS / CPT®SCLERAL LENS LIQUID BANDAGE
S05160HCPCS / CPT®SAFETY FRAMES
S05180HCPCS / CPT®SUNGLASS FRAMES
S05800HCPCS / CPT®POLYCARB LENS
S05810HCPCS / CPT®NONSTND LENS
S05900HCPCS / CPT®MISC INTEGRAL LENS SERV
S05920HCPCS / CPT®COMP CONT LENS EVAL
S05950HCPCS / CPT®NEW LENSES IN PTS OLD FRAME
S05960HCPCS / CPT®PHAKIC IOL REFRACTIVE ERROR
S06010HCPCS / CPT®SCREENING PROCTOSCOPY
S06100HCPCS / CPT®ANNUAL GYNECOLOGICAL EXAMINA
S06120HCPCS / CPT®ANNUAL GYNECOLOGICAL EXAMINA
S06130HCPCS / CPT®ANN BREAST EXAM
S06180HCPCS / CPT®AUDIOMETRY FOR HEARING AID
S06200HCPCS / CPT®ROUTINE OPHTHALMOLOGICAL EXA
S06210HCPCS / CPT®ROUTINE OPHTHALMOLOGICAL EXA
S06220HCPCS / CPT®PHYS EXAM FOR COLLEGE
S063088HCPCS / CPT®REMOVAL OF SUTURES
S08000HCPCS / CPT®LASER IN SITU KERATOMILEUSIS
S08100HCPCS / CPT®PHOTOREFRACTIVE KERATECTOMY
S08120HCPCS / CPT®PHOTOTHERAP KERATECT
S10010HCPCS / CPT®DELUXE ITEM
S10020HCPCS / CPT®CUSTOM ITEM
S10150HCPCS / CPT®IV TUBING EXTENSION SET
S10160HCPCS / CPT®NON-PVC INTRAVENOUS ADMINIST
S10300HCPCS / CPT®GLUC MONITOR PURCHASE
S10310HCPCS / CPT®GLUC MONITOR RENTAL
S10340HCPCS / CPT®ART PANCREAS SYSTEM
S10350HCPCS / CPT®ART PANCREAS INV DISP SENSOR
S10360HCPCS / CPT®ART PANCREAS EXT TRANSMITTER
S10370HCPCS / CPT®ART PANCREAS EXT RECEIVER
S10400HCPCS / CPT®CRANIAL REMOLDING ORTHOSIS
S10900HCPCS / CPT®MOMETASONE SINUS IMPLANT
S20530HCPCS / CPT®TRANSPLANTATION OF SMALL INT
S20540HCPCS / CPT®TRANSPLANTATION OF MULTIVISC
S20550HCPCS / CPT®HARVESTING OF DONOR MULTIVIS
S20600HCPCS / CPT®LOBAR LUNG TRANSPLANTATION
S20610HCPCS / CPT®DONOR LOBECTOMY (LUNG)
S20650HCPCS / CPT®SIMULT PANC KIDN TRANS
S20660HCPCS / CPT®BREAST GAP FLAP RECONST
S20670HCPCS / CPT®BREAST STACKED DIEP/GAP
S20680HCPCS / CPT®BREAST DIEP OR SIEA FLAP
S20700HCPCS / CPT®CYSTO LASER TX URETERAL CALC
S20790HCPCS / CPT®LAP ESOPHAGOMYOTOMY
S20800HCPCS / CPT®LAUP
S20830HCPCS / CPT®ADJUSTMENT GASTRIC BAND
S20950HCPCS / CPT®TRANSCATH EMBOLIZ MICROSPHER
S21020HCPCS / CPT®ISLET CELL TISSUE TRANSPLANT
S21030HCPCS / CPT®ADRENAL TISSUE TRANSPLANT
S21070HCPCS / CPT®ADOPTIVE IMMUNOTHERAPY
S21120HCPCS / CPT®KNEE ARTHROSCP HARV
S21150HCPCS / CPT®PERIACETABULAR OSTEOTOMY
S21170HCPCS / CPT®ARTHROEREISIS, SUBTALAR
S21180HCPCS / CPT®TOTAL HIP RESURFACING
S21200HCPCS / CPT®LOW DENSITY LIPOPROTEIN(LDL)
S21400HCPCS / CPT®CORD BLOOD HARVESTING
S21420HCPCS / CPT®CORD BLOOD-DERIVED STEM-CELL
S21500HCPCS / CPT®BMT HARV/TRANSPL 28D PKG
S21520HCPCS / CPT®SOLID ORGAN TRANSPL PKG
S22020HCPCS / CPT®ECHOSCLEROTHERAPY
S22050HCPCS / CPT®MINIMALLY INVASIVE DIRECT CO
S22060HCPCS / CPT®MINIMALLY INVASIVE DIRECT CO
S22070HCPCS / CPT®MINIMALLY INVASIVE DIRECT CO
S22080HCPCS / CPT®MINIMALLY INVASIVE DIRECT CO
S22090HCPCS / CPT®MINIMALLY INVASIVE DIRECT CO
S22250HCPCS / CPT®MYRINGOTOMY LASER-ASSIST
S22300HCPCS / CPT®IMPLANT SEMI-IMP HEAR
S22350HCPCS / CPT®IMPLANT AUDITORY BRAIN IMP
S22600HCPCS / CPT®INDUCED ABORTION 17-24 WEEKS
S22650HCPCS / CPT®INDUCED ABORTION 25-28 WKS
S22660HCPCS / CPT®INDUCED ABORTION 29-31 WKS
S22670HCPCS / CPT®INDUCED ABORTION 32 OR MORE
S23000HCPCS / CPT®ARTHROSCOPY, SHOULDER, SURGI
S23250HCPCS / CPT®HIP CORE DECOMPRESSION
S23400HCPCS / CPT®CHEMODENERVATION OF ABDUCTOR
S23410HCPCS / CPT®CHEMODENERV ADDUCT VOCAL
S23420HCPCS / CPT®NASAL ENDOSCOP PO DEBRID
S23480HCPCS / CPT®DECOMPRESS DISC RF LUMBAR
S23500HCPCS / CPT®DISKECTOMY, ANTERIOR, WITH D
S23510HCPCS / CPT®DISKECTOMY, ANTERIOR, WITH D
S24000HCPCS / CPT®FETAL SURG CONGEN HERNIA
S24010HCPCS / CPT®FETAL SURG URIN TRAC OBSTR
S24020HCPCS / CPT®FETAL SURG CONG CYST MALF
S24030HCPCS / CPT®FETAL SURG PULMON SEQUEST
S24040HCPCS / CPT®FETAL SURG MYELOMENINGO
S24050HCPCS / CPT®FETAL SURG SACROCOC TERATOMA
S24090HCPCS / CPT®FETAL SURG NOC
S24110HCPCS / CPT®FETOSCOP LASER THER TTTS
S29000HCPCS / CPT®ROBOTIC SURGICAL SYSTEM
S300017HCPCS / CPT®BILAT DIL RETINAL EXAM
S30050HCPCS / CPT®EVAL SELF-ASSESS DEPRESSION
S36000HCPCS / CPT®STAT LAB
S36010HCPCS / CPT®STAT LAB HOME/NF
S36200HCPCS / CPT®NEWBORN METABOLIC SCREENING
S36300HCPCS / CPT®EOSINOPHIL BLOOD COUNT
S36450HCPCS / CPT®HIV-1 ANTIBODY TESTING OF OR
S36500HCPCS / CPT®SALIVA TEST, HORMONE LEVEL;
S36520HCPCS / CPT®SALIVA TEST, HORMONE LEVEL;
S36550HCPCS / CPT®ANTISPERM ANTIBODIES TEST
S37080HCPCS / CPT®GASTROINTESTINAL FAT ABSORPT
S37220HCPCS / CPT®DOSE OPTIMIZATION AUC – 5FU
S38000HCPCS / CPT®GENETIC TESTING ALS
S38400HCPCS / CPT®DNA ANALYSIS RET-ONCOGENE
S38410HCPCS / CPT®GENE TEST RETINOBLASTOMA
S38420HCPCS / CPT®GENE TEST HIPPEL-LINDAU
S38440HCPCS / CPT®DNA ANALYSIS DEAFNESS
S38450HCPCS / CPT®GENE TEST ALPHA-THALASSEMIA
S38460HCPCS / CPT®GENE TEST BETA-THALASSEMIA
S38490HCPCS / CPT®GENE TEST NIEMANN-PICK
S38500HCPCS / CPT®GENE TEST SICKLE CELL
S38520HCPCS / CPT®DNA ANALYSIS APOE ALZHEIMER
S38530HCPCS / CPT®GENE TEST MYO MUSCLR DYST
S38540HCPCS / CPT®GENE PROFILE PANEL BREAST
S38610HCPCS / CPT®GENETIC TEST BRUGADA
S38650HCPCS / CPT®COMP GENET TEST HYP CARDIOMY
S38660HCPCS / CPT®SPEC GENE TEST HYP CARDIOMY
S38700HCPCS / CPT®CGH TEST DEVELOPMENTAL DELAY
S39000HCPCS / CPT®SURFACE EMG
S39020HCPCS / CPT®BALLISTOCARDIOGRAM
S39040HCPCS / CPT®MASTERS TWO STEP
S40050HCPCS / CPT®INTERIM LABOR FACILITY GLOBA
S40110HCPCS / CPT®IVF PACKAGE
S40130HCPCS / CPT®COMPL GIFT CASE RATE
S40140HCPCS / CPT®COMPL ZIFT CASE RATE
S40150HCPCS / CPT®COMPLETE IVF NOS CASE RATE
S40160HCPCS / CPT®FROZEN IVF CASE RATE
S40170HCPCS / CPT®IVF CANC A STIM CASE RATE
S40180HCPCS / CPT®F EMB TRNS CANC CASE RATE
S40200HCPCS / CPT®IVF CANC A ASPIR CASE RATE
S40210HCPCS / CPT®IVF CANC P ASPIR CASE RATE
S40220HCPCS / CPT®ASST OOCYTE FERT CASE RATE
S40230HCPCS / CPT®INCOMPL DONOR EGG CASE RATE
S40250HCPCS / CPT®DONOR SERV IVF CASE RATE
S40260HCPCS / CPT®PROCURE DONOR SPERM
S40270HCPCS / CPT®STORE PREV FROZ EMBRYOS
S40280HCPCS / CPT®MICROSURG EPI SPERM ASP
S40300HCPCS / CPT®SPERM PROCURE INIT VISIT
S40310HCPCS / CPT®SPERM PROCURE SUBS VISIT
S40350HCPCS / CPT®STIMULATED IUI CASE RATE
S40370HCPCS / CPT®CRYO EMBRYO TRANSF CASE RATE
S40400HCPCS / CPT®MONIT STORE CRYO EMBRYO 30 D
S40420HCPCS / CPT®OVULATION MGMT PER CYCLE
S49810HCPCS / CPT®INSERT LEVONORGESTREL IUS
S49890HCPCS / CPT®CONTRACEPT IUD
S49900HCPCS / CPT®NICOTINE PATCH LEGEND
S49910HCPCS / CPT®NICOTINE PATCH NONLEGEND
S49930HCPCS / CPT®CONTRACEPTIVE PILLS FOR BC
S49950HCPCS / CPT®SMOKING CESSATION GUM
S50000HCPCS / CPT®PRESCRIPTION DRUG, GENERIC
S50010HCPCS / CPT®PRESCRIPTION DRUG,BRAND NAME
S5010185HCPCS / CPT®5% DEXTROSE AND 0.45% SALINE
S50120HCPCS / CPT®5% DEXTROSE WITH POTASSIUM
S50130HCPCS / CPT®5%DEXTROSE/0.45%SALINE1000ML
S50140HCPCS / CPT®D5W/0.45NS W KCL AND MGS04
S50350HCPCS / CPT®HIT ROUTINE DEVICE MAINT
S50360HCPCS / CPT®HIT DEVICE REPAIR
S51000HCPCS / CPT®ADULT DAYCARE SERVICES 15MIN
S51010HCPCS / CPT®ADULT DAY CARE PER HALF DAY
S51020HCPCS / CPT®ADULT DAY CARE PER DIEM
S51050HCPCS / CPT®CENTERBASED DAY CARE PERDIEM
S51080HCPCS / CPT®HOMECARE TRAIN PT 15 MIN
S51090HCPCS / CPT®HOMECARE TRAIN PT SESSION
S51100HCPCS / CPT®FAMILY HOMECARE TRAINING 15M
S51110HCPCS / CPT®FAMILY HOMECARE TRAIN/SESSIO
S51150HCPCS / CPT®NONFAMILY HOMECARE TRAIN/15M
S51160HCPCS / CPT®NONFAMILY HC TRAIN/SESSION
S51200HCPCS / CPT®CHORE SERVICES PER 15 MIN
S51210HCPCS / CPT®CHORE SERVICES PER DIEM
S51250HCPCS / CPT®ATTENDANT CARE SERVICE /15M
S51260HCPCS / CPT®ATTENDANT CARE SERVICE /DIEM
S51300HCPCS / CPT®HOMAKER SERVICE NOS PER 15M
S51310HCPCS / CPT®HOMEMAKER SERVICE NOS /DIEM
S51350HCPCS / CPT®ADULT COMPANIONCARE PER 15M
S51360HCPCS / CPT®ADULT COMPANIONCARE PER DIEM
S51400HCPCS / CPT®ADULT FOSTER CARE PER DIEM
S51410HCPCS / CPT®ADULT FOSTER CARE PER MONTH
S51450HCPCS / CPT®CHILD FOSTERCARE TH PER DIEM
S51460HCPCS / CPT®THER FOSTERCARE CHILD /MONTH
S51500HCPCS / CPT®UNSKILLED RESPITE CARE /15M
S51510HCPCS / CPT®UNSKILLED RESPITECARE /DIEM
S51600HCPCS / CPT®EMER RESPONSE SYS INSTAL&TST
S51610HCPCS / CPT®EMER RSPNS SYS SERV PERMONTH
S51620HCPCS / CPT®EMER RSPNS SYSTEM PURCHASE
S51650HCPCS / CPT®HOME MODIFICATIONS PER SERV
S51700HCPCS / CPT®HOMEDELIVERED PREPARED MEAL
S51750HCPCS / CPT®LAUNDRY SERV,EXT,PROF,/ORDER
S51800HCPCS / CPT®HH RESPIRATORY THRPY IN EVAL
S51810HCPCS / CPT®HH RESPIRATORY THRPY NOS/DAY
S51850HCPCS / CPT®MED REMINDER SERV PER MONTH
S51900HCPCS / CPT®WELLNESS ASSESSMENT BY NONPH
S51990HCPCS / CPT®PERSONAL CARE ITEM NOS EACH
S54970HCPCS / CPT®HIT CATH CARE NOC
S54980HCPCS / CPT®HIT SIMPLE CATH CARE
S55010HCPCS / CPT®HIT COMPLEX CATH CARE
S55020HCPCS / CPT®HIT INTERIM CATH CARE
S55170HCPCS / CPT®HIT DECLOTTING KIT
S55180HCPCS / CPT®HIT CATH REPAIR KIT
S55200HCPCS / CPT®HIT PICC INSERT KIT
S55210HCPCS / CPT®HIT MIDLINE CATH INSERT KIT
S55220HCPCS / CPT®HIT PICC INSERT NO SUPP
S55230HCPCS / CPT®HIP MIDLINE CATH INSERT KIT
S555044HCPCS / CPT®INSULIN RAPID 5 U
S55510HCPCS / CPT®INSULIN MOST RAPID 5 U
S55520HCPCS / CPT®INSULIN INTERMED 5 U
S55530HCPCS / CPT®INSULIN LONG ACTING 5 U
S55600HCPCS / CPT®INSULIN REUSE PEN 1.5 ML
S55610HCPCS / CPT®INSULIN REUSE PEN 3 ML
S55650HCPCS / CPT®INSULIN CARTRIDGE 150 U
S55660HCPCS / CPT®INSULIN CARTRIDGE 300 U
S55700HCPCS / CPT®INSULIN DISPOS PEN 1.5 ML
S55710HCPCS / CPT®INSULIN DISPOS PEN 3 ML
S80300HCPCS / CPT®TANTALUM RING APPLICATION
S80350HCPCS / CPT®MAGNETIC SOURCE IMAGING
S80370HCPCS / CPT®MRCP
S80400HCPCS / CPT®TOPOGRAPHIC BRAIN MAPPING
S80420HCPCS / CPT®MRI LOW FIELD
S80550HCPCS / CPT®US GUIDANCE FETAL REDUCT
S80800HCPCS / CPT®SCINTIMAMMOGRAPHY
S80850HCPCS / CPT®FLUORINE-18 FLUORODEOXYGLUCO
S80920HCPCS / CPT®ELECTRON BEAM COMPUTED TOMOG
S80960HCPCS / CPT®PORTABLE PEAK FLOW METER
S80970HCPCS / CPT®ASTHMA KIT
S81000HCPCS / CPT®SPACER WITHOUT MASK
S81010HCPCS / CPT®SPACER WITH MASK
S81100HCPCS / CPT®PEAK EXPIRATORY FLOW RATE (P
S81200HCPCS / CPT®O2 CONTENTS GAS CUBIC FT
S81210HCPCS / CPT®O2 CONTENTS LIQUID LB
S81300HCPCS / CPT®INTERFERENTIAL STIM 2 CHAN
S81310HCPCS / CPT®INTERFERENTIAL STIM 4 CHAN
S81850HCPCS / CPT®FLUTTER DEVICE
S81860HCPCS / CPT®SWIVEL ADAPTOR
S81890HCPCS / CPT®TRACH SUPPLY NOC
S82100HCPCS / CPT®MUCUS TRAP
S82650HCPCS / CPT®HABERMAN FEEDER
S82700HCPCS / CPT®ENURESIS ALARM
S83010HCPCS / CPT®INFECT CONTROL SUPPLIES NOS
S84150HCPCS / CPT®SUPPLIES FOR HOME DELIVERY
S84200HCPCS / CPT®CUSTOM GRADIENT SLEEV/GLOV
S84210HCPCS / CPT®READY GRADIENT SLEEV/GLOV
S84220HCPCS / CPT®CUSTOM GRAD SLEEVE MED
S84230HCPCS / CPT®CUSTOM GRAD SLEEVE HEAVY
S84240HCPCS / CPT®READY GRADIENT SLEEVE
S84250HCPCS / CPT®CUSTOM GRAD GLOVE MED
S84260HCPCS / CPT®CUSTOM GRAD GLOVE HEAVY
S84270HCPCS / CPT®READY GRADIENT GLOVE
S84280HCPCS / CPT®READY GRADIENT GAUNTLET
S84290HCPCS / CPT®GRADIENT PRESSURE WRAP
S84300HCPCS / CPT®PADDING FOR COMPRSSN BDG
S84310HCPCS / CPT®COMPRESSION BANDAGE
S845076HCPCS / CPT®SPLINT DIGIT
S84510HCPCS / CPT®SPLINT WRIST OR ANKLE
S84520HCPCS / CPT®SPLINT ELBOW
S84600HCPCS / CPT®CAMISOLE POST-MAST
S84900HCPCS / CPT®100 INSULIN SYRINGES
S89300HCPCS / CPT®AURICULAR ELECTROSTIMULATION
S89400HCPCS / CPT®HIPPOTHERAPY PER SESSION
S89480HCPCS / CPT®LOW-LEVEL LASER TRMT 15 MIN
S89500HCPCS / CPT®COMPLEX LYMPHEDEMA THERAPY,
S89900HCPCS / CPT®PT OR MANIP FOR MAINT
S89990HCPCS / CPT®RESUSCITATION BAG
S90010HCPCS / CPT®HOME UTERINE MONITOR WITH OR
S90070HCPCS / CPT®ULTRAFILTRATION MONITOR
S90240HCPCS / CPT®PARANASAL SINUS ULTRASOUND
S90250HCPCS / CPT®OMNICARDIOGRAM/CARDIOINTEGRA
S90340HCPCS / CPT®ESWL FOR GALLSTONES
S90550HCPCS / CPT®PROCUREN OR OTHER GROWTH FAC
S90560HCPCS / CPT®COMA STIMULATION PER DIEM
S90610HCPCS / CPT®MEDICAL SUPPLIES AND EQUIPME
S90830HCPCS / CPT®URGENT CARE CENTER GLOBAL
S90880HCPCS / CPT®SERVICES PROVIDED IN URGENT
S90900HCPCS / CPT®VERTEBRAL AXIAL DECOMPRESSIO
S90970HCPCS / CPT®HOME VISIT WOUND CARE
S90980HCPCS / CPT®HOME PHOTOTHERAPY VISIT
S91100HCPCS / CPT®TELEMONITORING/HOME PER MNTH
S91170HCPCS / CPT®BACK SCHOOL VISIT
S91220HCPCS / CPT®HOME HEALTH AIDE OR CERTIFIE
S91230HCPCS / CPT®NURSING CARE IN HOME RN
S91240HCPCS / CPT®NURSING CARE, IN THE HOME; B
S91250HCPCS / CPT®RESPITE CARE, IN THE HOME, P
S91260HCPCS / CPT®HOSPICE CARE, IN THE HOME, P
S91270HCPCS / CPT®SOCIAL WORK VISIT, IN THE HO
S91280HCPCS / CPT®SPEECH THERAPY, IN THE HOME,
S91290HCPCS / CPT®OCCUPATIONAL THERAPY, IN THE
S91310HCPCS / CPT®PT IN THE HOME PER DIEM
S91400HCPCS / CPT®DIABETIC MANAGEMENT PROGRAM,
S91410HCPCS / CPT®DIABETIC MANAGEMENT PROGRAM,
S91450HCPCS / CPT®INSULIN PUMP INITIATION
S91500HCPCS / CPT®EVALUATION BY OCULARIST
S91520HCPCS / CPT®SPEECH THERAPY, RE-EVAL
S92080HCPCS / CPT®HOME MGMT PRETERM LABOR
S92090HCPCS / CPT®HOME MGMT PPROM
S92110HCPCS / CPT®HOME MGMT GEST HYPERTENSION
S92120HCPCS / CPT®HM POSTPAR HYPER PER DIEM
S92130HCPCS / CPT®HM PREECLAMP PER DIEM
S92140HCPCS / CPT®HM GEST DM PER DIEM
S93250HCPCS / CPT®HIT PAIN MGMT PER DIEM
S93260HCPCS / CPT®HIT CONT PAIN PER DIEM
S93270HCPCS / CPT®HIT INT PAIN PER DIEM
S93280HCPCS / CPT®HIT PAIN IMP PUMP DIEM
S93290HCPCS / CPT®HIT CHEMO PER DIEM
S93300HCPCS / CPT®HIT CONT CHEM DIEM
S93310HCPCS / CPT®HIT INTERMIT CHEMO DIEM
S93350HCPCS / CPT®HT HEMODIALYSIS DIEM
S93360HCPCS / CPT®HIT CONT ANTICOAG DIEM
S93380HCPCS / CPT®HIT IMMUNOTHERAPY DIEM
S93390HCPCS / CPT®HIT PERITON DIALYSIS DIEM
S93400HCPCS / CPT®HIT ENTERAL PER DIEM
S93410HCPCS / CPT®HIT ENTERAL GRAV DIEM
S93420HCPCS / CPT®HIT ENTERAL PUMP DIEM
S93430HCPCS / CPT®HIT ENTERAL BOLUS NURS
S93450HCPCS / CPT®HIT ANTI-HEMOPHIL DIEM
S93460HCPCS / CPT®HIT ALPHA-1-PROTEINAS DIEM
S93470HCPCS / CPT®HIT LONGTERM INFUSION DIEM
S93480HCPCS / CPT®HIT SYMPATHOMIM DIEM
S93490HCPCS / CPT®HIT TOCOLYSIS DIEM
S93510HCPCS / CPT®HIT CONT ANTIEMETIC DIEM
S93530HCPCS / CPT®HIT CONT INSULIN DIEM
S93550HCPCS / CPT®HIT CHELATION DIEM
S93570HCPCS / CPT®HIT ENZYME REPLACE DIEM
S93590HCPCS / CPT®HIT ANTI-TNF PER DIEM
S93610HCPCS / CPT®HIT DIURETIC INFUS DIEM
S93630HCPCS / CPT®HIT ANTI-SPASMOTIC DIEM
S93640HCPCS / CPT®HIT TPN TOTAL DIEM
S93650HCPCS / CPT®HIT TPN 1 LITER DIEM
S93660HCPCS / CPT®HIT TPN 2 LITER DIEM
S93670HCPCS / CPT®HIT TPN 3 LITER DIEM
S93680HCPCS / CPT®HIT TPN OVER 3L DIEM
S93700HCPCS / CPT®HT INJ ANTIEMETIC DIEM
S93720HCPCS / CPT®HT INJ ANTICOAG DIEM
S93730HCPCS / CPT®HIT HYDRA TOTAL DIEM
S93740HCPCS / CPT®HIT HYDRA 1 LITER DIEM
S93750HCPCS / CPT®HIT HYDRA 2 LITER DIEM
S93760HCPCS / CPT®HIT HYDRA 3 LITER DIEM
S93770HCPCS / CPT®HIT HYDRA OVER 3L DIEM
S93790HCPCS / CPT®HIT NOC PER DIEM
S93810HCPCS / CPT®HIT HIGH RISK/ESCORT
S94010HCPCS / CPT®ANTICOAG CLINIC PER SESSION
S94300HCPCS / CPT®PHARMACY COMP/DISP SERV
S94330HCPCS / CPT®MEDICAL FOOD ORAL 100% NUTR
S94340HCPCS / CPT®MOD SOLID FOOD SUPPL
S94350HCPCS / CPT®MEDICAL FOODS FOR INBORN ERR
S94360HCPCS / CPT®LAMAZE CLASS
S94370HCPCS / CPT®CHILDBIRTH REFRESHER CLASS
S94380HCPCS / CPT®CESAREAN BIRTH CLASS
S94390HCPCS / CPT®VBAC CLASS
S94410HCPCS / CPT®ASTHMA EDUCATION
S94420HCPCS / CPT®BIRTHING CLASS
S94430HCPCS / CPT®LACTATION CLASS
S94440HCPCS / CPT®PARENTING CLASS
S94450HCPCS / CPT®PT EDUCATION NOC INDIVID
S94460HCPCS / CPT®PT EDUCATION NOC GROUP
S94470HCPCS / CPT®INFANT SAFETY CLASS
S94490HCPCS / CPT®WEIGHT MGMT CLASS
S94510HCPCS / CPT®EXERCISE CLASS
S94520HCPCS / CPT®NUTRITION CLASS
S94530HCPCS / CPT®SMOKING CESSATION CLASS
S94540HCPCS / CPT®STRESS MGMT CLASS
S94550HCPCS / CPT®DIABETIC MANAGEMENT PROGRAM,
S94600HCPCS / CPT®DIABETIC MANAGEMENT PROGRAM,
S94650HCPCS / CPT®DIABETIC MANAGEMENT PROGRAM,
S94700HCPCS / CPT®NUTRITIONAL COUNSELING, DIET
S94720HCPCS / CPT®CARDIAC REHABILITATION PROGR
S94730HCPCS / CPT®PULMONARY REHABILITATION PRO
S94740HCPCS / CPT®ENTEROSTOMAL THERAPY BY A RE
S94750HCPCS / CPT®AMBULATORY SETTING SUBSTANCE
S94760HCPCS / CPT®VESTIBULAR REHAB PER DIEM
S94800HCPCS / CPT®INTENSIVE OUTPATIENT PSYCHIA
S94820HCPCS / CPT®FAMILY STABILIZATION 15 MIN
S94840HCPCS / CPT®CRISIS INTERVENTION PER HOUR
S94850HCPCS / CPT®CRISIS INTERVENTION MENTAL H
S94900HCPCS / CPT®HIT CORTICOSTEROID/DIEM
S94940HCPCS / CPT®HIT ANTIBIOTIC TOTAL DIEM
S94970HCPCS / CPT®HIT ANTIBIOTIC Q3H DIEM
S95000HCPCS / CPT®HIT ANTIBIOTIC Q24H DIEM
S95010HCPCS / CPT®HIT ANTIBIOTIC Q12H DIEM
S95020HCPCS / CPT®HIT ANTIBIOTIC Q8H DIEM
S95030HCPCS / CPT®HIT ANTIBIOTIC Q6H DIEM
S95040HCPCS / CPT®HIT ANTIBIOTIC Q4H DIEM
S95290HCPCS / CPT®VENIPUNCTURE HOME/SNF
S95370HCPCS / CPT®HT HEM HORM INJ DIEM
S95380HCPCS / CPT®HIT BLOOD PRODUCTS DIEM
S95420HCPCS / CPT®HT INJ NOC PER DIEM
S95580HCPCS / CPT®HT INJ GROWTH HORM DIEM
S95590HCPCS / CPT®HIT INJ INTERFERON DIEM
S95600HCPCS / CPT®HT INJ HORMONE DIEM
S95620HCPCS / CPT®HT INJ PALIVIZUMAB DIEM
S95900HCPCS / CPT®HT IRRIGATION DIEM
S98100HCPCS / CPT®HT PHARM PER HOUR
S99000HCPCS / CPT®CHRISTIAN SCI PRACT VISIT
S99010HCPCS / CPT®CHRISTIAN SCI NURSE VISIT
S99600HCPCS / CPT®AIR AMBULANC NONEMERG FIXED
S99610HCPCS / CPT®AIR AMBULAN NONEMERG ROTARY
S99700HCPCS / CPT®HEALTH CLUB MEMBERSHIP YR
S99750HCPCS / CPT®TRANSPLANT RELATED PER DIEM
S99760HCPCS / CPT®LODGING PER DIEM
S99770HCPCS / CPT®MEALS PER DIEM
S998155HCPCS / CPT®MED RECORD COPY ADMIN
S99820HCPCS / CPT®MED RECORD COPY PER PAGE
S99860HCPCS / CPT®NOT MEDICALLY NECESSARY SVC
S99880HCPCS / CPT®SERV PART OF PHASE I TRIAL
S99890HCPCS / CPT®SERVICES OUTSIDE US
S99900HCPCS / CPT®SERVICES PROVIDED AS PART OF
S99910HCPCS / CPT®SERVICES PROVIDED AS PART OF
S99920HCPCS / CPT®TRANSPORTATION COSTS TO AND
S99940HCPCS / CPT®LODGING COSTS (E.G. HOTEL CH
S99960HCPCS / CPT®MEALS FOR CLINICAL TRIAL PAR
S99990HCPCS / CPT®SALES TAX
T10000HCPCS / CPT®PRIVATE DUTY/INDEPENDENT NSG
T10010HCPCS / CPT®NURSING ASSESSMENT/EVALUATN
T10020HCPCS / CPT®RN SERVICES UP TO 15 MINUTES
T10030HCPCS / CPT®LPN/LVN SERVICES UP TO 15MIN
T10040HCPCS / CPT®NSG AIDE SERVICE UP TO 15MIN
T10050HCPCS / CPT®RESPITE CARE SERVICE 15 MIN
T10060HCPCS / CPT®FAMILY/COUPLE COUNSELING
T10070HCPCS / CPT®TREATMENT PLAN DEVELOPMENT
T10090HCPCS / CPT®CHILD SITTING SERVICES
T10100HCPCS / CPT®MEALS WHEN RECEIVE SERVICES
T10120HCPCS / CPT®ALCOHOL/SUBSTANCE ABUSE SKIL
T10130HCPCS / CPT®SIGN LANG/ORAL INTERPRETER
T10140HCPCS / CPT®TELEHEALTH TRANSMIT, PER MIN
T10150HCPCS / CPT®CLINIC SERVICE
T10160HCPCS / CPT®CASE MANAGEMENT
T10170HCPCS / CPT®TARGETED CASE MANAGEMENT
T10180HCPCS / CPT®SCHOOL-BASED IEP SER BUNDLED
T10190HCPCS / CPT®PERSONAL CARE SER PER 15 MIN
T10200HCPCS / CPT®PERSONAL CARE SER PER DIEM
T10210HCPCS / CPT®HH AIDE OR CN AIDE PER VISIT
T10220HCPCS / CPT®CONTRACTED SERVICES PER DAY
T10230HCPCS / CPT®PROGRAM INTAKE ASSESSMENT
T10240HCPCS / CPT®TEAM EVALUATION & MANAGEMENT
T10250HCPCS / CPT®PED COMPR CARE PKG, PER DIEM
T10260HCPCS / CPT®PED COMPR CARE PKG, PER HOUR
T10270HCPCS / CPT®FAMILY TRAINING & COUNSELING
T10280HCPCS / CPT®HOME ENVIRONMENT ASSESSMENT
T10290HCPCS / CPT®DWELLING LEAD INVESTIGATION
T10300HCPCS / CPT®RN HOME CARE PER DIEM
T10310HCPCS / CPT®LPN HOME CARE PER DIEM
T10400HCPCS / CPT®COMM BH CLINIC SVC PER DIEM
T10410HCPCS / CPT®COMM BH CLINIC SVC PER MONTH
T15020HCPCS / CPT®MEDICATION ADMIN VISIT
T15030HCPCS / CPT®MED ADMIN, NOT ORAL/INJECT
T15050HCPCS / CPT®ELEC MED COMP DEV, NOC
T19990HCPCS / CPT®NOC RETAIL ITEMS ANDSUPPLIES
T20010HCPCS / CPT®N-ET; PATIENT ATTEND/ESCORT
T20020HCPCS / CPT®N-ET; PER DIEM
T20030HCPCS / CPT®N-ET; ENCOUNTER/TRIP
T20040HCPCS / CPT®N-ET; COMMERC CARRIER PASS
T20050HCPCS / CPT®N-ET; STRETCHER VAN
T20070HCPCS / CPT®NON-EMER TRANSPORT WAIT TIME
T20100HCPCS / CPT®PASRR LEVEL I
T20110HCPCS / CPT®PASRR LEVEL II
T20120HCPCS / CPT®HABIL ED WAIVER, PER DIEM
T20130HCPCS / CPT®HABIL ED WAIVER PER HOUR
T20140HCPCS / CPT®HABIL PREVOC WAIVER, PER D
T20150HCPCS / CPT®HABIL PREVOC WAIVER PER HR
T20160HCPCS / CPT®HABIL RES WAIVER PER DIEM
T20170HCPCS / CPT®HABIL RES WAIVER 15 MIN
T20180HCPCS / CPT®HABIL SUP EMPL WAIVER/DIEM
T20190HCPCS / CPT®HABIL SUP EMPL WAIVER 15MIN
T20200HCPCS / CPT®DAY HABIL WAIVER PER DIEM
T20210HCPCS / CPT®DAY HABIL WAIVER PER 15 MIN
T20220HCPCS / CPT®CASE MANAGEMENT, PER MONTH
T20230HCPCS / CPT®TARGETED CASE MGMT PER MONTH
T20240HCPCS / CPT®SERV ASMNT/CARE PLAN WAIVER
T20250HCPCS / CPT®WAIVER SERVICE, NOS
T20260HCPCS / CPT®SPECIAL CHILDCARE WAIVER/D
T20270HCPCS / CPT®SPEC CHILDCARE WAIVER 15 MIN
T20280HCPCS / CPT®SPECIAL SUPPLY, NOS WAIVER
T20290HCPCS / CPT®SPECIAL MED EQUIP, NOSWAIVER
T20300HCPCS / CPT®ASSIST LIVING WAIVER/MONTH
T20310HCPCS / CPT®ASSIST LIVING WAIVER/DIEM
T20320HCPCS / CPT®RES CARE, NOS WAIVER/MONTH
T20330HCPCS / CPT®RES, NOS WAIVER PER DIEM
T20340HCPCS / CPT®CRISIS INTERVEN WAIVER/DIEM
T20350HCPCS / CPT®UTILITY SERVICES WAIVER
T20360HCPCS / CPT®CAMP OVERNITE WAIVER/SESSION
T20370HCPCS / CPT®CAMP DAY WAIVER/SESSION
T20380HCPCS / CPT®COMM TRANS WAIVER/SERVICE
T20390HCPCS / CPT®VEHICLE MOD WAIVER/SERVICE
T20400HCPCS / CPT®FINANCIAL MGT WAIVER/15MIN
T20410HCPCS / CPT®SUPPORT BROKER WAIVER/15 MIN
T20420HCPCS / CPT®HOSPICE ROUTINE HOME CARE
T20430HCPCS / CPT®HOSPICE CONTINUOUS HOME CARE
T20440HCPCS / CPT®HOSPICE RESPITE CARE
T20450HCPCS / CPT®HOSPICE GENERAL CARE
T20460HCPCS / CPT®HOSPICE LONG TERM CARE, R&B
T20480HCPCS / CPT®BH LTC RES R&B, PER DIEM
T20490HCPCS / CPT®N-ET; STRETCHER VAN, MILEAGE
T21010HCPCS / CPT®BREAST MILK PROC/STORE/DIST
T45210HCPCS / CPT®ADULT SIZE BRIEF/DIAPER SM
T45220HCPCS / CPT®ADULT SIZE BRIEF/DIAPER MED
T45230HCPCS / CPT®ADULT SIZE BRIEF/DIAPER LG
T45240HCPCS / CPT®ADULT SIZE BRIEF/DIAPER XL
T45250HCPCS / CPT®ADULT SIZE PULL-ON SM
T45260HCPCS / CPT®ADULT SIZE PULL-ON MED
T45270HCPCS / CPT®ADULT SIZE PULL-ON LG
T45280HCPCS / CPT®ADULT SIZE PULL-ON XL
T45290HCPCS / CPT®PED SIZE BRIEF/DIAPER SM/MED
T45300HCPCS / CPT®PED SIZE BRIEF/DIAPER LG
T45310HCPCS / CPT®PED SIZE PULL-ON SM/MED
T45320HCPCS / CPT®PED SIZE PULL-ON LG
T45330HCPCS / CPT®YOUTH SIZE BRIEF/DIAPER
T45340HCPCS / CPT®YOUTH SIZE PULL-ON
T45350HCPCS / CPT®DISPOSABLE LINER/SHIELD/PAD
T45360HCPCS / CPT®REUSABLE PULL-ON ANY SIZE
T45370HCPCS / CPT®REUSABLE UNDERPAD BED SIZE
T45380HCPCS / CPT®DIAPER SERV REUSABLE DIAPER
T45390HCPCS / CPT®REUSE DIAPER/BRIEF ANY SIZE
T45400HCPCS / CPT®REUSABLE UNDERPAD CHAIR SIZE
T45410HCPCS / CPT®LARGE DISPOSABLE UNDERPAD
T45420HCPCS / CPT®SMALL DISPOSABLE UNDERPAD
T45430HCPCS / CPT®ADULT DISP BRIEF/DIAP ABV XL
T45440HCPCS / CPT®ADLT DISP UND/PULL ON ABV XL
T50010HCPCS / CPT®POSITION SEAT SPEC ORTH NEED
T59990HCPCS / CPT®SUPPLY, NOS
V20200HCPCS / CPT®VISION SVCS FRAMES PURCHASES
V20250HCPCS / CPT®EYEGLASSES DELUX FRAMES
V21000HCPCS / CPT®LENS SPHER SINGLE PLANO 4.00
V21010HCPCS / CPT®SINGLE VISN SPHERE 4.12-7.00
V21020HCPCS / CPT®SINGL VISN SPHERE 7.12-20.00
V21030HCPCS / CPT®SPHEROCYLINDR 4.00D/12-2.00D
V21040HCPCS / CPT®SPHEROCYLINDR 4.00D/2.12-4D
V21050HCPCS / CPT®SPHEROCYLINDER 4.00D/4.25-6D
V21060HCPCS / CPT®SPHEROCYLINDER 4.00D/>6.00D
V21070HCPCS / CPT®SPHEROCYLINDER 4.25D/12-2D
V21080HCPCS / CPT®SPHEROCYLINDER 4.25D/2.12-4D
V21090HCPCS / CPT®SPHEROCYLINDER 4.25D/4.25-6D
V21100HCPCS / CPT®SPHEROCYLINDER 4.25D/OVER 6D
V21110HCPCS / CPT®SPHEROCYLINDR 7.25D/.25-2.25
V21120HCPCS / CPT®SPHEROCYLINDR 7.25D/2.25-4D
V21130HCPCS / CPT®SPHEROCYLINDR 7.25D/4.25-6D
V21140HCPCS / CPT®SPHEROCYLINDER OVER 12.00D
V21150HCPCS / CPT®LENS LENTICULAR BIFOCAL
V21180HCPCS / CPT®LENS ANISEIKONIC SINGLE
V21210HCPCS / CPT®LENTICULAR LENS, SINGLE
V21990HCPCS / CPT®LENS SINGLE VISION NOT OTH C
V22000HCPCS / CPT®LENS SPHER BIFOC PLANO 4.00D
V22010HCPCS / CPT®LENS SPHERE BIFOCAL 4.12-7.0
V22020HCPCS / CPT®LENS SPHERE BIFOCAL 7.12-20.
V22030HCPCS / CPT®LENS SPHCYL BIFOCAL 4.00D/.1
V22040HCPCS / CPT®LENS SPHCY BIFOCAL 4.00D/2.1
V22050HCPCS / CPT®LENS SPHCY BIFOCAL 4.00D/4.2
V22060HCPCS / CPT®LENS SPHCY BIFOCAL 4.00D/OVE
V22070HCPCS / CPT®LENS SPHCY BIFOCAL 4.25-7D/.
V22080HCPCS / CPT®LENS SPHCY BIFOCAL 4.25-7/2.
V22090HCPCS / CPT®LENS SPHCY BIFOCAL 4.25-7/4.
V22100HCPCS / CPT®LENS SPHCY BIFOCAL 4.25-7/OV
V22110HCPCS / CPT®LENS SPHCY BIFO 7.25-12/.25-
V22120HCPCS / CPT®LENS SPHCYL BIFO 7.25-12/2.2
V22130HCPCS / CPT®LENS SPHCYL BIFO 7.25-12/4.2
V22140HCPCS / CPT®LENS SPHCYL BIFOCAL OVER 12.
V22150HCPCS / CPT®LENS LENTICULAR BIFOCAL
V22180HCPCS / CPT®LENS ANISEIKONIC BIFOCAL
V22190HCPCS / CPT®LENS BIFOCAL SEG WIDTH OVER
V22200HCPCS / CPT®LENS BIFOCAL ADD OVER 3.25D
V22210HCPCS / CPT®LENTICULAR LENS, BIFOCAL
V22990HCPCS / CPT®LENS BIFOCAL SPECIALITY
V23000HCPCS / CPT®LENS SPHERE TRIFOCAL 4.00D
V23010HCPCS / CPT®LENS SPHERE TRIFOCAL 4.12-7.
V23020HCPCS / CPT®LENS SPHERE TRIFOCAL 7.12-20
V23030HCPCS / CPT®LENS SPHCY TRIFOCAL 4.0/.12-
V23040HCPCS / CPT®LENS SPHCY TRIFOCAL 4.0/2.25
V23050HCPCS / CPT®LENS SPHCY TRIFOCAL 4.0/4.25
V23060HCPCS / CPT®LENS SPHCYL TRIFOCAL 4.00/>6
V23070HCPCS / CPT®LENS SPHCY TRIFOCAL 4.25-7/.
V23080HCPCS / CPT®LENS SPHC TRIFOCAL 4.25-7/2.
V23090HCPCS / CPT®LENS SPHC TRIFOCAL 4.25-7/4.
V23100HCPCS / CPT®LENS SPHC TRIFOCAL 4.25-7/>6
V23110HCPCS / CPT®LENS SPHC TRIFO 7.25-12/.25-
V23120HCPCS / CPT®LENS SPHC TRIFO 7.25-12/2.25
V23130HCPCS / CPT®LENS SPHC TRIFO 7.25-12/4.25
V23140HCPCS / CPT®LENS SPHCYL TRIFOCAL OVER 12
V23150HCPCS / CPT®LENS LENTICULAR TRIFOCAL
V23180HCPCS / CPT®LENS ANISEIKONIC TRIFOCAL
V23190HCPCS / CPT®LENS TRIFOCAL SEG WIDTH > 28
V23200HCPCS / CPT®LENS TRIFOCAL ADD OVER 3.25D
V23210HCPCS / CPT®LENTICULAR LENS, TRIFOCAL
V23990HCPCS / CPT®LENS TRIFOCAL SPECIALITY
V24100HCPCS / CPT®LENS VARIAB ASPHERICITY SING
V24300HCPCS / CPT®LENS VARIABLE ASPHERICITY BI
V24990HCPCS / CPT®VARIABLE ASPHERICITY LENS
V25000HCPCS / CPT®CONTACT LENS PMMA SPHERICAL
V25010HCPCS / CPT®CNTCT LENS PMMA-TORIC/PRISM
V25020HCPCS / CPT®CONTACT LENS PMMA BIFOCAL
V25030HCPCS / CPT®CNTCT LENS PMMA COLOR VISION
V25100HCPCS / CPT®CNTCT GAS PERMEABLE SPHERICL
V25110HCPCS / CPT®CNTCT TORIC PRISM BALLAST
V25120HCPCS / CPT®CNTCT LENS GAS PERMBL BIFOCL
V25130HCPCS / CPT®CONTACT LENS EXTENDED WEAR
V25200HCPCS / CPT®CONTACT LENS HYDROPHILIC
V25210HCPCS / CPT®CNTCT LENS HYDROPHILIC TORIC
V25220HCPCS / CPT®CNTCT LENS HYDROPHIL BIFOCL
V25230HCPCS / CPT®CNTCT LENS HYDROPHIL EXTEND
V25300HCPCS / CPT®CONTACT LENS GAS IMPERMEABLE
V25310HCPCS / CPT®CONTACT LENS GAS PERMEABLE
V25990HCPCS / CPT®CONTACT LENS/ES OTHER TYPE
V26000HCPCS / CPT®HAND HELD LOW VISION AIDS
V26100HCPCS / CPT®SINGLE LENS SPECTACLE MOUNT
V26150HCPCS / CPT®TELESCOP/OTHR COMPOUND LENS
V26230HCPCS / CPT®PLASTIC EYE PROSTH CUSTOM
V26240HCPCS / CPT®POLISHING ARTIFICAL EYE
V26250HCPCS / CPT®ENLARGEMNT OF EYE PROSTHESIS
V26260HCPCS / CPT®REDUCTION OF EYE PROSTHESIS
V26270HCPCS / CPT®SCLERAL COVER SHELL
V26280HCPCS / CPT®FABRICATION & FITTING
V26290HCPCS / CPT®PROSTHETIC EYE OTHER TYPE
V26300HCPCS / CPT®ANTER CHAMBER INTRAOCUL LENS
V26310HCPCS / CPT®IRIS SUPPORT INTRAOCLR LENS
V26320HCPCS / CPT®POST CHMBR INTRAOCULAR LENS
V27000HCPCS / CPT®BALANCE LENS
V27020HCPCS / CPT®DELUXE LENS FEATURE
V27100HCPCS / CPT®GLASS/PLASTIC SLAB OFF PRISM
V27150HCPCS / CPT®PRISM LENS/ES
V27180HCPCS / CPT®FRESNELL PRISM PRESS-ON LENS
V27300HCPCS / CPT®SPECIAL BASE CURVE
V27440HCPCS / CPT®TINT PHOTOCHROMATIC LENS/ES
V27450HCPCS / CPT®TINT, ANY COLOR/SOLID/GRAD
V27500HCPCS / CPT®ANTI-REFLECTIVE COATING
V27550HCPCS / CPT®UV LENS/ES
V27560HCPCS / CPT®EYE GLASS CASE
V27600HCPCS / CPT®SCRATCH RESISTANT COATING
V27610HCPCS / CPT®MIRROR COATING
V27620HCPCS / CPT®POLARIZATION, ANY LENS
V27700HCPCS / CPT®OCCLUDER LENS/ES
V27800HCPCS / CPT®OVERSIZE LENS/ES
V27810HCPCS / CPT®PROGRESSIVE LENS PER LENS
V27820HCPCS / CPT®LENS, 1.54-1.65 P/1.60-1.79G
V27830HCPCS / CPT®LENS, >= 1.66 P/>=1.80 G
V27840HCPCS / CPT®LENS POLYCARB OR EQUAL
V27850HCPCS / CPT®CORNEAL TISSUE PROCESSING
V27860HCPCS / CPT®OCCUPATIONAL MULTIFOCAL LENS
V27870HCPCS / CPT®ASTIGMATISM-CORRECT FUNCTION
V27880HCPCS / CPT®PRESBYOPIA-CORRECT FUNCTION
V27900HCPCS / CPT®AMNIOTIC MEMBRANE
V27970HCPCS / CPT®VIS ITEM/SVC IN OTHER CODE
V27990HCPCS / CPT®MISC VISION ITEM OR SERVICE
V50080HCPCS / CPT®HEARING SCREENING
V50100HCPCS / CPT®ASSESSMENT FOR HEARING AID
V50110HCPCS / CPT®HEARING AID FITTING/CHECKING
V50140HCPCS / CPT®HEARING AID REPAIR/MODIFYING
V50200HCPCS / CPT®CONFORMITY EVALUATION
V50300HCPCS / CPT®BODY-WORN HEARING AID AIR
V50400HCPCS / CPT®BODY-WORN HEARING AID BONE
V50500HCPCS / CPT®HEARING AID MONAURAL IN EAR
V50600HCPCS / CPT®BEHIND EAR HEARING AID
V50700HCPCS / CPT®GLASSES AIR CONDUCTION
V50800HCPCS / CPT®GLASSES BONE CONDUCTION
V50900HCPCS / CPT®HEARING AID DISPENSING FEE
V50950HCPCS / CPT®IMPLANT MID EAR HEARING PROS
V51000HCPCS / CPT®BODY-WORN BILAT HEARING AID
V51100HCPCS / CPT®HEARING AID DISPENSING FEE
V51200HCPCS / CPT®BODY-WORN BINAUR HEARING AID
V51300HCPCS / CPT®IN EAR BINAURAL HEARING AID
V51400HCPCS / CPT®BEHIND EAR BINAUR HEARING AI
V51500HCPCS / CPT®GLASSES BINAURAL HEARING AID
V51600HCPCS / CPT®DISPENSING FEE BINAURAL
V51700HCPCS / CPT®WITHIN EAR CROS HEARING AID
V51800HCPCS / CPT®BEHIND EAR CROS HEARING AID
V51900HCPCS / CPT®GLASSES CROS HEARING AID
V52000HCPCS / CPT®CROS HEARING AID DISPENS FEE
V52100HCPCS / CPT®IN EAR BICROS HEARING AID
V52200HCPCS / CPT®BEHIND EAR BICROS HEARING AI
V52300HCPCS / CPT®GLASSES BICROS HEARING AID
V52400HCPCS / CPT®DISPENSING FEE BICROS
V52410HCPCS / CPT®DISPENSING FEE, MONAURAL
V52420HCPCS / CPT®HEARING AID, MONAURAL, CIC
V52430HCPCS / CPT®HEARING AID, MONAURAL, ITC
V52440HCPCS / CPT®HEARING AID, PROG, MON, CIC
V52450HCPCS / CPT®HEARING AID, PROG, MON, ITC
V52460HCPCS / CPT®HEARING AID, PROG, MON, ITE
V52470HCPCS / CPT®HEARING AID, PROG, MON, BTE
V52480HCPCS / CPT®HEARING AID, BINAURAL, CIC
V52490HCPCS / CPT®HEARING AID, BINAURAL, ITC
V52500HCPCS / CPT®HEARING AID, PROG, BIN, CIC
V52510HCPCS / CPT®HEARING AID, PROG, BIN, ITC
V52520HCPCS / CPT®HEARING AID, PROG, BIN, ITE
V52530HCPCS / CPT®HEARING AID, PROG, BIN, BTE
V52540HCPCS / CPT®HEARING ID, DIGIT, MON, CIC
V52550HCPCS / CPT®HEARING AID, DIGIT, MON, ITC
V52560HCPCS / CPT®HEARING AID, DIGIT, MON, ITE
V52570HCPCS / CPT®HEARING AID, DIGIT, MON, BTE
V52580HCPCS / CPT®HEARING AID, DIGIT, BIN, CIC
V52590HCPCS / CPT®HEARING AID, DIGIT, BIN, ITC
V52600HCPCS / CPT®HEARING AID, DIGIT, BIN, ITE
V52610HCPCS / CPT®HEARING AID, DIGIT, BIN, BTE
V52620HCPCS / CPT®HEARING AID, DISP, MONAURAL
V52630HCPCS / CPT®HEARING AID, DISP, BINAURAL
V52640HCPCS / CPT®EAR MOLD/INSERT
V52650HCPCS / CPT®EAR MOLD/INSERT, DISP
V52660HCPCS / CPT®BATTERY FOR HEARING DEVICE
V52670HCPCS / CPT®HEARING AID SUP/ACCESS/DEV
V52680HCPCS / CPT®ALD TELEPHONE AMPLIFIER
V52690HCPCS / CPT®ALERTING DEVICE, ANY TYPE
V52700HCPCS / CPT®ALD, TV AMPLIFIER, ANY TYPE
V52710HCPCS / CPT®ALD, TV CAPTION DECODER
V52720HCPCS / CPT®TDD
V52730HCPCS / CPT®ALD FOR COCHLEAR IMPLANT
V52740HCPCS / CPT®ALD UNSPECIFIED
V52750HCPCS / CPT®EAR IMPRESSION
V52810HCPCS / CPT®ALD FM/DM SYSTEM, MONAURAL
V52820HCPCS / CPT®ALD FM/DM SYSTEM BINAURAL
V52830HCPCS / CPT®ALD NECK, LOOP IND RECEIVER
V52840HCPCS / CPT®ALD FM/DM EAR LEVEL RECEIVER
V52850HCPCS / CPT®ALD FM/DM AUD INPUT RECEIVER
V52860HCPCS / CPT®ALD BLU TOOTH FM/DM RECEIVER
V52870HCPCS / CPT®ALD FM/DM RECEIVER, NOS
V52880HCPCS / CPT®ALD FM/DM TRANSMITTER ALD
V52890HCPCS / CPT®ALD FM/DM ADAPT/BOOT COUPLIN
V52900HCPCS / CPT®ALD TRANSMITTER MICROPHONE
V52980HCPCS / CPT®HEARING AID NOC
V52990HCPCS / CPT®HEARING SERVICE
V53360HCPCS / CPT®REPAIR COMMUNICATION DEVICE
V53620HCPCS / CPT®SPEECH SCREENING
V53630HCPCS / CPT®LANGUAGE SCREENING
V53640HCPCS / CPT®DYSPHAGIA SCREENING
200RevenueHEALTH INSURANCE – PROSPECTIVE PAYMENT SYSTEM (HIPPS) – RESERVED
1220RevenueRoom/Board -OB
2210RevenueSPECIAL CHARGES – ADMISSION CHARGE
2510RevenueGENERIC DRUGS
2520RevenueNON- GENERIC DRUGS
2570RevenueNON PRESCRIPTION DRUGS
2580RevenueIV SOLUTION
2630RevenueINFUSION SERVICES
2710RevenueNON STERILE SUPPLIES
2720RevenueSTERILE SUPPLIES
2730RevenueTAKE HOME SUPPLIES
2740RevenueSUPPLIES- ORHTO – PROSTHETIC
2920RevenueNEW DME
3000RevenueLAB- GENERAL
3010RevenueLAB-CHEMISTRY
3060RevenueLAB-BACTERIAL AND MICRO
3200RevenueRAD-GENERAL
3240RevenueRAD- CHEST XRAY
3510RevenueCT- HEAD
3520RevenueCT- BODY
4020RevenueULTRASOUND
4500RevenueEMERGENCY ROOM-GENERAL
4510RevenueEMERGENCY – MSE
4520RevenueEMERGENCY SERVICES
4600RevenuePULMONARY FUNCTION
4710RevenueAUDIOLOGY- DIAGNOSTIC
4720RevenueAUDIOLOGY- TREATMENT
6210RevenuePHARMACY- ASSOCIATED WITH RADIOLOGY
6360RevenuePHARMACY-EXTENSION OF 25X – DRUGS REQUIRING DETAILED CODING (A)
7300RevenueEGK/ECG ELECTROCARDIOGRAM
7621678RevenueObservation hours
7710RevenuePREVENTIVE CARE SERVICES – VACCINE ADMINISTRATION
9230RevenuePAP SMEAR
9250RevenuePREGNANCY TEST