| G9148 | National committee for quality assurance - level 1 medical home |
| G9149 | National committee for quality assurance - level 2 medical home |
| G9150 | National committee for quality assurance - level 3 medical home |
| S0618 | Audiometry for hearing aid evaluation to determine the level and degree of hearing loss |
| L5580 | Preparatory, above knee - knee disarticulation ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, molded to model |
| G0909 | Hemoglobin level measurement not documented, reason not given |
| G8974 | Hemoglobin level measurement not documented, reason not given |
| L5570 | Preparatory, above knee - knee disarticulation, ischial level socket, non-alignable system, pylon, no cover, sach foot, thermoplastic or equal, direct formed |
| V5284 | Assistive listening device, personal fm/dm, ear level receiver |
| T2011 | Preadmission screening and resident review (pasrr) level ii evaluation, per evaluation |
| T2010 | Preadmission screening and resident review (pasrr) level i identification screening, per screen |
