S0012	Butorphanol tartrate, nasal
S0014	Tacrine hydrochloride, 10 mg
S0017	Injection, aminocaproic acid
S0020	Injection, bupivicaine hydro
S0021	Injection, cefoperazone sod
S0023	Injection, cimetidine hydroc
S0028	Injection, famotidine, 20 mg
S0030	Injection, metronidazole
S0032	Injection, nafcillin sodium
S0034	Injection, ofloxacin, 400 mg
S0039	Injection, sulfamethoxazole
S0040	Injection, ticarcillin disod
S0073	Injection, aztreonam, 500 mg
S0074	Injection, cefotetan disodiu
S0077	Injection, clindamycin phosp
S0078	Injection, fosphenytoin sodi
S0080	Injection, pentamidine iseth
S0081	Injection, piperacillin sodi
S0088	Imatinib 100 mg
S0090	Sildenafil citrate, 25 mg
S0091	Granisetron 1mg
S0092	Hydromorphone 250 mg
S0093	Morphine 500 mg
S0104	Zidovudine, oral, 100 mg
S0106	Bupropion hcl sr 60 tablets
S0108	Mercaptopurine 50 mg
S0109	Methadone oral 5mg
S0117	Tretinoin topical 5 g
S0119	Ondansetron 4 mg
S0122	Inj menotropins 75 iu
S0126	Inj follitropin alfa 75 iu
S0128	Inj follitropin beta 75 iu
S0132	Inj ganirelix acetat 250 mcg
S0136	Clozapine, 25 mg
S0137	Didanosine, 25 mg
S0138	Finasteride, 5 mg
S0139	Minoxidil, 10 mg
S0140	Saquinavir, 200 mg
S0142	Colistimethate inh sol mg
S0145	Peg interferon alfa-2a/180
S0148	Peg interferon alfa-2b/10
S0155	Epoprostenol dilutant
S0156	Exemestane, 25 mg
S0157	Becaplermin gel 1%, 0.5 gm
S0160	Dextroamphetamine
S0164	Injection pantroprazole
S0166	Inj olanzapine 2.5mg
S0169	Calcitrol
S0170	Anastrozole 1 mg
S0171	Bumetanide 0.5 mg
S0172	Chlorambucil 2 mg
S0174	Dolasetron 50 mg
S0175	Flutamide 125 mg
S0176	Hydroxyurea 500 mg
S0177	Levamisole 50 mg
S0178	Lomustine 10 mg
S0179	Megestrol 20 mg
S0182	Procarbazine, oral
S0183	Prochlorperazine 5 mg
S0187	Tamoxifen 10 mg
S0189	Testosterone pellet 75 mg
S0190	Mifepristone, oral, 200 mg
S0191	Misoprostol, oral, 200 mcg
S0194	Vitamin suppl 100 caps
S0197	Prenatal vitamins 30 day
S0199	Med abortion inc all ex drug
S0201	Partial hospitalization serv
S0207	Paramedicintercep nonhospals
S0208	Paramed intrcept nonvol
S0209	Wc van mileage per mi
S0215	Nonemerg transp mileage
S0220	Medical conference by physic
S0221	Medical conference, 60 min
S0250	Comp geriatr assmt team
S0255	Hospice refer visit nonmd
S0257	End of life counseling
S0260	H&p for surgery
S0265	Genetic counsel 15 mins
S0270	Home std case rate 30 days
S0271	Home hospice case 30 days
S0272	Home episodic case 30 days
S0273	Md home visit outside cap
S0274	Nurse practr visit outs cap
S0280	Medical home, initial plan
S0281	Medical home, maintenance
S0285	Cnslt before screen colonosc
S0302	Completed epsdt
S0310	Hospitalist visit
S0311	Comp mgmt care coord adv ill
S0315	Disease management program
S0316	Follow-up/reassessment
S0317	Disease mgmt per diem
S0320	Rn telephone calls to dmp
S0340	Lifestyle mod 1st stage
S0341	Lifestyle mod 2 or 3 stage
S0342	Lifestyle mod 4th stage
S0353	Cancer treatmentplan initial
S0354	Cancer treatment plan change
S0390	Rout foot care per visit
S0395	Impression casting ft
S0400	Global eswl kidney
S0500	Dispos cont lens
S0504	Singl prscrp lens
S0506	Bifoc prscp lens
S0508	Trifoc prscrp lens
S0510	Non-prscrp lens
S0512	Daily cont lens
S0514	Color cont lens
S0515	Scleral lens liquid bandage
S0516	Safety frames
S0518	Sunglass frames
S0580	Polycarb lens
S0581	Nonstnd lens
S0590	Misc integral lens serv
S0592	Comp cont lens eval
S0595	New lenses in pts old frame
S0596	Phakic iol refractive error
S0601	Screening proctoscopy
S0610	Annual gynecological examina
S0612	Annual gynecological examina
S0613	Ann breast exam
S0618	Audiometry for hearing aid
S0620	Routine ophthalmological exa
S0621	Routine ophthalmological exa
S0622	Phys exam for college
S0630	Removal of sutures
S0800	Laser in situ keratomileusis
S0810	Photorefractive keratectomy
S0812	Phototherap keratect
S1001	Deluxe item
S1002	Custom item
S1015	Iv tubing extension set
S1016	Non-pvc intravenous administ
S1030	Gluc monitor purchase
S1031	Gluc monitor rental
S1034	Art pancreas system
S1035	Art pancreas inv disp sensor
S1036	Art pancreas ext transmitter
S1037	Art pancreas ext receiver
S1040	Cranial remolding orthosis
S2053	Transplantation of small int
S2054	Transplantation of multivisc
S2055	Harvesting of donor multivis
S2060	Lobar lung transplantation
S2061	Donor lobectomy (lung)
S2065	Simult panc kidn trans
S2066	Breast gap flap reconst
S2067	including harvesting of the flap(s)
S2068	Breast diep or siea flap
S2070	Cysto laser tx ureteral calc
S2079	Lap esophagomyotomy
S2080	Laup
S2083	Adjustment gastric band
S2095	Transcath emboliz microspher
S2102	Islet cell tissue transplant
S2103	Adrenal tissue transplant
S2107	Adoptive immunotherapy
S2112	Knee arthroscp harv
S2115	Periacetabular osteotomy
S2117	Arthroereisis, subtalar
S2118	Total hip resurfacing
S2120	Low density lipoprotein(ldl)
S2140	Cord blood harvesting
S2142	Cord blood-derived stem-cell
S2150	Bmt harv/transpl 28d pkg
S2152	Solid organ transpl pkg
S2202	Echosclerotherapy
S2205	Minimally invasive direct co
S2206	Minimally invasive direct co
S2207	Minimally invasive direct co
S2208	Minimally invasive direct co
S2209	Minimally invasive direct co
S2225	Myringotomy laser-assist
S2230	Implant semi-imp hear
S2235	Implant auditory brain imp
S2260	Induced abortion 17-24 weeks
S2265	Induced abortion 25-28 wks
S2266	Induced abortion 29-31 wks
S2267	Induced abortion 32 or more
S2300	Arthroscopy, shoulder, surgi
S2325	Hip core decompression
S2340	Chemodenervation of abductor
S2341	Chemodenerv adduct vocal
S2342	Nasal endoscop po debrid
S2348	Decompress disc rf lumbar
S2350	Diskectomy, anterior, with d
S2351	Diskectomy, anterior, with d
S2400	Fetal surg congen hernia
S2401	Fetal surg urin trac obstr
S2402	Fetal surg cong cyst malf
S2403	Fetal surg pulmon sequest
S2404	Fetal surg myelomeningo
S2405	Fetal surg sacrococ teratoma
S2409	Fetal surg noc
S2411	Fetoscop laser ther ttts
S2900	Robotic surgical system
S3000	Bilat dil retinal exam
S3005	Eval self-assess depression
S3600	Stat lab
S3601	Stat lab home/nf
S3620	Newborn metabolic screening
S3630	Eosinophil blood count
S3645	Hiv-1 antibody testing of or
S3650	Saliva test, hormone level;
S3652	Saliva test, hormone level;
S3655	Antisperm antibodies test
S3708	Gastrointestinal fat absorpt
S3722	Dose optimization auc - 5fu
S3800	Genetic testing als
S3840	Dna analysis ret-oncogene
S3841	Gene test retinoblastoma
S3842	Gene test hippel-lindau
S3844	Dna analysis deafness
S3845	Gene test alpha-thalassemia
S3846	Gene test beta-thalassemia
S3849	Gene test niemann-pick
S3850	Gene test sickle cell
S3852	Dna analysis apoe alzheimer
S3853	Gene test myo musclr dyst
S3854	Gene profile panel breast
S3861	Genetic test brugada
S3865	Comp genet test hyp cardiomy
S3866	Spec gene test hyp cardiomy
S3870	Cgh test developmental delay
S3900	Surface emg
S3902	Ballistocardiogram
S3904	Masters two step
S4005	Interim labor facility globa
S4011	Ivf package
S4013	Compl gift case rate
S4014	Compl zift case rate
S4015	Complete ivf nos case rate
S4016	Frozen ivf case rate
S4017	Ivf canc a stim case rate
S4018	F emb trns canc case rate
S4020	Ivf canc a aspir case rate
S4021	Ivf canc p aspir case rate
S4022	Asst oocyte fert case rate
S4023	Incompl donor egg case rate
S4025	Donor serv ivf case rate
S4026	Procure donor sperm
S4027	Store prev froz embryos
S4028	Microsurg epi sperm asp
S4030	Sperm procure init visit
S4031	Sperm procure subs visit
S4035	Stimulated iui case rate
S4037	Cryo embryo transf case rate
S4040	Monit store cryo embryo 30 d
S4042	Ovulation mgmt per cycle
S4981	Insert levonorgestrel ius
S4989	Contracept iud
S4990	Nicotine patch legend
S4991	Nicotine patch nonlegend
S4993	Contraceptive pills for bc
S4995	Smoking cessation gum
S5000	Prescription drug, generic
S5001	Prescription drug,brand name
S5010	5% dextrose and 0.45% saline
S5012	5% dextrose with potassium
S5013	5%dextrose/0.45%saline1000ml
S5014	D5w/0.45ns w kcl and mgs04
S5035	Hit routine device maint
S5036	Hit device repair
S5100	Adult daycare services 15min
S5101	Adult day care per half day
S5102	Adult day care per diem
S5105	Centerbased day care perdiem
S5108	Homecare train pt 15 min
S5109	Homecare train pt session
S5110	Family homecare training 15m
S5111	Family homecare train/sessio
S5115	Nonfamily homecare train/15m
S5116	Nonfamily hc train/session
S5120	Chore services per 15 min
S5121	Chore services per diem
S5125	Attendant care service /15m
S5126	Attendant care service /diem
S5130	Homaker service nos per 15m
S5131	Homemaker service nos /diem
S5135	Adult companioncare per 15m
S5136	Adult companioncare per diem
S5140	Adult foster care per diem
S5141	Adult foster care per month
S5145	Child fostercare th per diem
S5146	Ther fostercare child /month
S5150	Unskilled respite care /15m
S5151	Unskilled respitecare /diem
S5160	Emer response sys instal&tst
S5161	Emer rspns sys serv permonth
S5162	Emer rspns system purchase
S5165	Home modifications per serv
S5170	Homedelivered prepared meal
S5175	Laundry serv,ext,prof,/order
S5180	Hh respiratory thrpy in eval
S5181	Hh respiratory thrpy nos/day
S5185	Med reminder serv per month
S5190	Wellness assessment by nonph
S5199	Personal care item nos each
S5497	Hit cath care noc
S5498	Hit simple cath care
S5501	Hit complex cath care
S5502	Hit interim cath care
S5517	Hit declotting kit
S5518	Hit cath repair kit
S5520	Hit picc insert kit
S5521	Hit midline cath insert kit
S5522	Hit picc insert no supp
S5523	Hip midline cath insert kit
S5550	Insulin rapid 5 u
S5551	Insulin most rapid 5 u
S5552	Insulin intermed 5 u
S5553	Insulin long acting 5 u
S5560	Insulin reuse pen 1.5 ml
S5561	Insulin reuse pen 3 ml
S5565	Insulin cartridge 150 u
S5566	Insulin cartridge 300 u
S5570	Insulin dispos pen 1.5 ml
S5571	Insulin dispos pen 3 ml
S8030	Tantalum ring application
S8035	Magnetic source imaging
S8037	Mrcp
S8040	Topographic brain mapping
S8042	Mri low field
S8055	Us guidance fetal reduct
S8080	Scintimammography
S8085	Fluorine-18 fluorodeoxygluco
S8092	Electron beam computed tomog
S8096	Portable peak flow meter
S8097	Asthma kit
S8100	Spacer without mask
S8101	Spacer with mask
S8110	Peak expiratory flow rate (p
S8120	O2 contents gas cubic ft
S8121	O2 contents liquid lb
S8130	Interferential stim 2 chan
S8131	Interferential stim 4 chan
S8185	Flutter device
S8186	Swivel adaptor
S8189	Trach supply noc
S8210	Mucus trap
S8265	Haberman feeder
S8270	Enuresis alarm
S8301	Infect control supplies nos
S8415	Supplies for home delivery
S8420	Custom gradient sleev/glov
S8421	Ready gradient sleev/glov
S8422	Custom grad sleeve med
S8423	Custom grad sleeve heavy
S8424	Ready gradient sleeve
S8425	Custom grad glove med
S8426	Custom grad glove heavy
S8427	Ready gradient glove
S8428	Ready gradient gauntlet
S8429	Gradient pressure wrap
S8430	Padding for comprssn bdg
S8431	Compression bandage
S8450	Splint digit
S8451	Splint wrist or ankle
S8452	Splint elbow
S8460	Camisole post-mast
S8490	100 insulin syringes
S8930	Auricular electrostimulation
S8940	Hippotherapy per session
S8948	Low-level laser trmt 15 min
S8950	Complex lymphedema therapy,
S8990	Pt or manip for maint
S8999	Resuscitation bag
S9001	Home uterine monitor with or
S9007	Ultrafiltration monitor
S9024	Paranasal sinus ultrasound
S9025	Omnicardiogram/cardiointegra
S9034	Eswl for gallstones
S9055	Procuren or other growth fac
S9056	Coma stimulation per diem
S9061	Medical supplies and equipme
S9083	Urgent care center global
S9088	Services provided in urgent
S9090	Vertebral axial decompressio
S9097	Home visit wound care
S9098	Home phototherapy visit
S9110	Telemonitoring/home per mnth
S9117	Back school visit
S9122	Home health aide or certifie
S9123	Nursing care in home rn
S9124	Nursing care, in the home; b
S9125	Respite care, in the home, p
S9126	Hospice care, in the home, p
S9127	Social work visit, in the ho
S9128	Speech therapy, in the home,
S9129	Occupational therapy, in the
S9131	Pt in the home per diem
S9140	Diabetic management program,
S9141	Diabetic management program,
S9145	Insulin pump initiation
S9150	Evaluation by ocularist
S9152	Speech therapy, re-eval
S9208	Home mgmt preterm labor
S9209	Home mgmt pprom
S9211	Home mgmt gest hypertension
S9212	Hm postpar hyper per diem
S9213	Hm preeclamp per diem
S9214	Hm gest dm per diem
S9325	Hit pain mgmt per diem
S9326	Hit cont pain per diem
S9327	Hit int pain per diem
S9328	Hit pain imp pump diem
S9329	Hit chemo per diem
S9330	Hit cont chem diem
S9331	Hit intermit chemo diem
S9335	Ht hemodialysis diem
S9336	Hit cont anticoag diem
S9338	Hit immunotherapy diem
S9339	Hit periton dialysis diem
S9340	Hit enteral per diem
S9341	Hit enteral grav diem
S9342	Hit enteral pump diem
S9343	Hit enteral bolus nurs
S9345	Hit anti-hemophil diem
S9346	Hit alpha-1-proteinas diem
S9347	Hit longterm infusion diem
S9348	Hit sympathomim diem
S9349	Hit tocolysis diem
S9351	Hit cont antiemetic diem
S9353	Hit cont insulin diem
S9355	Hit chelation diem
S9357	Hit enzyme replace diem
S9359	Hit anti-tnf per diem
S9361	Hit diuretic infus diem
S9363	Hit anti-spasmotic diem
S9364	Hit tpn total diem
S9365	Hit tpn 1 liter diem
S9366	Hit tpn 2 liter diem
S9367	Hit tpn 3 liter diem
S9368	Hit tpn over 3l diem
S9370	Ht inj antiemetic diem
S9372	Ht inj anticoag diem
S9373	Hit hydra total diem
S9374	Hit hydra 1 liter diem
S9375	Hit hydra 2 liter diem
S9376	Hit hydra 3 liter diem
S9377	Hit hydra over 3l diem
S9379	Hit noc per diem
S9381	Hit high risk/escort
S9401	Anticoag clinic per session
S9430	Pharmacy comp/disp serv
S9433	Medical food oral 100% nutr
S9434	Mod solid food suppl
S9435	Medical foods for inborn err
S9436	Lamaze class
S9437	Childbirth refresher class
S9438	Cesarean birth class
S9439	Vbac class
S9441	Asthma education
S9442	Birthing class
S9443	Lactation class
S9444	Parenting class
S9445	Pt education noc individ
S9446	Pt education noc group
S9447	Infant safety class
S9449	Weight mgmt class
S9451	Exercise class
S9452	Nutrition class
S9453	Smoking cessation class
S9454	Stress mgmt class
S9455	Diabetic management program,
S9460	Diabetic management program,
S9465	Diabetic management program,
S9470	Nutritional counseling, diet
S9472	Cardiac rehabilitation progr
S9473	Pulmonary rehabilitation pro
S9474	Enterostomal therapy by a re
S9475	Ambulatory setting substance
S9476	Vestibular rehab per diem
S9480	Intensive outpatient psychia
S9482	Family stabilization 15 min
S9484	Crisis intervention per hour
S9485	Crisis intervention mental h
S9490	Hit corticosteroid/diem
S9494	Hit antibiotic total diem
S9497	Hit antibiotic q3h diem
S9500	Hit antibiotic q24h diem
S9501	Hit antibiotic q12h diem
S9502	Hit antibiotic q8h diem
S9503	Hit antibiotic q6h diem
S9504	Hit antibiotic q4h diem
S9529	Venipuncture home/snf
S9537	Ht hem horm inj diem
S9538	Hit blood products diem
S9542	Ht inj noc per diem
S9558	Ht inj growth horm diem
S9559	Hit inj interferon diem
S9560	Ht inj hormone diem
S9562	Ht inj palivizumab diem
S9590	Ht irrigation diem
S9810	Ht pharm per hour
S9900	Christian sci pract visit
S9901	Christian sci nurse visit
S9960	Air ambulanc nonemerg fixed
S9961	Air ambulan nonemerg rotary
S9970	Health club membership yr
S9975	Transplant related per diem
S9976	Lodging per diem
S9977	Meals per diem
S9981	Med record copy admin
S9982	Med record copy per page
S9986	Not medically necessary svc
S9988	Serv part of phase i trial
S9989	Services outside us
S9990	Services provided as part of
S9991	Services provided as part of
S9992	Transportation costs to and
S9994	Lodging costs (e.g. hotel ch
S9996	Meals for clinical trial par
S9999	Sales tax